Ross Orpet, Paramedic turned EMS Physician

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

Paramedic training is over, you’re in the front seat now. Whether day 1 or day 1,000 you can’t shake the fear you’re underprepared. You were taught to systematically decide if A... do B. But what if “A” wasn’t in the book? The truth is each emergency call is too unique to teach the right response to every situation. We need to go beyond algorithmic thinking and understand deeper principles, the WHY behind the algorithm. When every decision counts you want to rely on a framework that will guide you when things don’t make sense. Loud & Clear: EMS Guiding Principles is your resource to build that...

Author

Ross Orpet, Paramedic turned EMS Physician

Category

Education

Podcast website

emspodcast.com

Latest episode

Jun 29, 2026

Where to listen?

Podcasts in the app Replaio Radio Coming soon

Podcasts are coming to the app soon. Install now and be the first to see a whole new take on podcasts

Get it on Google Play Install for free Android 5M+ downloads · 4.8 rating iOS soon

Episodes

Snake Bites 17.08.2022

Summer's not over yet which means the snakes they are a still slithering. Come learn everything you need to know about treating North American snake bites in the field and dispel some myths along the way.  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 fi...

Deadly Cocaine Overdose, Do You Know The Antidote? They Didn't Teach Me This In Paramedic School. 31.05.2022

Dr. Lesley Pepin joins us to talk about the nuances of cocaine overdose and it's various managements. There's more than you think. And the more you know could make a difference and save a life.  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? 👉 Boo...

The Physiologically Difficulty Airway - Part 3: Severe Metabolic Acidosis 02.05.2022

Join us for part three of our four part series looking at the physiologically difficult airway. Matt takes us through the approach to severe metabolic acidosis and 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   Resources: Want to stay ahead of the top 1% in EMS and build real confidence in...

The Physiologically Difficulty Airway - Part 2: Hypotension 31.03.2022

Join us for part two of our four part series looking at the physiologically difficult airway. Matt takes us through the different causes of hypotension, why these patients are so dangerous to intubate, and how to resuscitate before you intubate.  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% i...

Narrow Pulse Pressure as a Predictor of ED Thoracotomy in Trauma? 28.02.2022

We discuss the following paper and its impact on our prehospital management.  Prehospital narrow pulse pressure predicts need for resuscitative thoracotomy and emergent intervention after trauma Schellenberg M, Owattanapanich N, Getrajdman J, et al. J Surg Res. 2021;268:284-290. Enter to Win a FREE Pair of Frontline Optics Sunglasses   Resources: Want to stay ahead of the top 1% in EMS and build r...

The Physiologically Difficult Airway - Part 1: Hypoxia 01.02.2022

Ross and Matt discuss the importance of preoxygenating hypoxic patients prior to intubating them. This is the first of a 4 part series on the physiologically difficult airways. Link to the makeshift CPAP: https://www.youtube.com/watch?v=yHGMIQBak6A 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%...

Does your radio work? In the middle of an MCI is too late to find out. 31.12.2021

Will Berry and Ben Fisher join the show again to teach us about the handheld device on your hip. Do you really know how to use your radio? What do you do if it fails? It's important to talk and think about these things before they happen.  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 a...

Don't Miss Carbon Monoxide Poisoning 02.11.2021

Paramedic Will Berry sits down with toxicologist John Rague to talk about all things carbon monoxide including why snorkels aren't helpful. 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-coaching-call American Burn Association / ABLS: Ente...

Your Run Report Matters More Than You Think 30.09.2021

Ben Fisher, paramedic and NEMSIS guru, joins us to talk about what NEMSIS is and it's importance to the career field. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMS cast15 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 pressur...

When the provider becomes the patient 31.08.2021

Glen Andrews has 28 years of experience in medicine but on July 21st, he had to put all of his experience behind and surrender his fate to the care of others. Join us to hear how this event changed him and the insights he has gained from now being on both sides of the gurney.  Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses   Resources: Wan...

You're Not Treating Seizures Correctly. Pharmacist Lance Ray on Why Dosing is so Important. 26.07.2021

Lance Ray joins us to emphasize the importance of correct seizure treatment. 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 your skills as a paramedic: em...

Dirty Epi drip - We Don't Call it Dirty For Nothin' 31.05.2021

We sit down with pharmacist Lance Ray about dirty epi drips. These are probably our best prehospital option but they aren't silver bullets and they come with downsides. In other words, "we don't call em dirty for nothin." 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 conf...

Digoxin Toxicity and Other Cardiac Glycosides with Dr. Rague 30.04.2021

Emergency Physician and Toxicology Fellow John Rague joins us to discuss the presentation and management of digoxin toxicity in addition to other cardiac glycosides. Digoxin is not as commonly prescribed anymore thus our teaching on this topic has become less common. But digoxin and other cardiac glycosides are still available and used today so it's still important to understand the recognition an...

MCI - Don't Be Unprepared for the Unexpected 01.04.2021

A deep dive on MCI with Will Berry. You have to practice.  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 your skills as a paramedic: emspodcast.com/free-...

One of the Sickest Patients- Calcium Channel and Beta Blocker Overdose with Dr. Camarena-Michel. 01.03.2021

Toxicology fellow extraordinaire Alexa Camarena-Michel, MD joins us again to talk about one of sickest overdose patients you may see. Calcium channel blocker and beta blocker overdose patients can be really sick and are often refractory to our standard therapies. Learn how to better manage these patients.  Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Opti...

Stuck Outside- Hypothermia with Dr. Martin Musi 31.01.2021

A longer one than usual. We take a deep dive into hypothermia with wilderness medicine physician and expert Martin Musi. 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 press...

Simple Approach to Caustic Ingestions 31.12.2020

Alexa Camarena-Michel teaches us a simple approach to caustic ingestions and more. 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 your skills as a paramed...

Why You Can't Oxygenate - A lot of ARDS and a little bit of COVID 30.11.2020

Dr. Wright joins us to discuss acute respiratory distress syndrome (ARDS). There has been a lot said about ARDS recently given some of it's similarities to the COVID-19 disease process. That being said ARDS has been around for a long time and is very much its own disease process. We discuss how to define it, how to recognize it, and how we treat it. There are some great media and pictures to help...

Misdiagnosed- in-depth look at how problems with blood sugar gets missed 19.10.2020

Undiagnosed or misdiagnosed diabetes is common because of how vague the symptoms can be. Chief Harper from Denver Paramedics tells us his incredible personal story dealing with his son's diagnoses, his path to becoming an expert on diabetes, and how we should think about this as prehospital providers. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Su...

Making the call - tips on calling for medical direction 18.09.2020

This month we sit down with Assistant Medical Director Whitney Barrett to discuss the dos and don'ts of calling in for medical control.  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-ma...

The WTF Approach to the Tracheostomy 10.08.2020

This is still included in the A of ABCs but I got essentially no training on this in paramedic school. I honestly didn’t get much formal training on this after becoming an ED doc either. I just had to bug RTs and ICU docs to learn what I know now. Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses Airway problems are terrifyring without an app...

Confusion Leads To Harm- Clear Communication Counts 08.07.2020

We discuss where things go wrong with how we talk to each other and how we can do better. 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 your skills as a pa...

The Critically Sick Kid 06.06.2020

EMS physician Whitney Barrett joins us to discuss some of the scariest and emotional calls we can go on and how we can manage these situations better.  Enter to Win a FREE Pair of Frontline Optics Sunglasses EMScast15 for 15% Off Frontline Optics Sunglasses   Caring for the critically ill pediatric patient is scary for all emergency providers. We discussed our approach to these calls with attendin...

Penetrating Neck Wounds 01.05.2020

Maria Moreira joins us to to discuss the intricacies to managing penetrating neck wounds. There are a lot of important structures in the neck and damage to these structures are often life threatening and require quick action to stabilize. We break down how to organize these structures in your mind and develop a treatment plan based on what you're seeing on exam. We'll also take it one step further...

Large Vessel Occlusions (LVO) 02.04.2020

First and foremost, we would like to thank all pre-hospital providers for the work you do. You are all underpaid, understaffed, and under appreciated. However, the unsung work that you do matters now more than ever. We go to work every day in order to be there when the public needs us. Much of the focus as of late has been on COVID. And probably rightfully so. But patients continue to have MI’s, s...

Listen to the Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers podcast in Replaio

Radio and podcasts in one app - free, with no sign-up. Install today and do not miss the launch

Get it on Google Play

Replaio is not a podcast publisher; show names, artwork and audio belong to their authors and are distributed through public RSS feeds.