The Overrun

Summary This episode is a follow-up to our last episode about the 2025 AHA updates. Our guest is Remle Crowe, one of the authors of section 4 of the 2025 AHA updates, which specifically addresses systems of care. The conversation delves into the complexities of resuscitation practices in emergency medical services, highlighting the stark reality that many resuscitations do not yield favorable outc...

The 2025 AHA Guidelines have ignited a powerful, emotional conversation inside EMS and hospital systems. In this eye-opening episode, Ed Bauter, Dan Schwester, and Dr. Mike DeFilippo confront a controversial but crucial question:  Are we performing CPR on people we know will not benefit—and is that causing more suffering than saving? With new evidence, emerging ethical dilemmas, and shifting expec...

Summary In this episode of the Overrun Podcast, hosts Ed Bauter and Dan Schwester engage with Josh Kimbrell and Judah Kreinbrook to discuss their recent research on cardiac arrest, focusing on the critical delays in defibrillation and chest compressions. The conversation explores the implications of these delays, the phenomenon of rearrest, and the importance of a tactical pause in emergency medic...

Summary In this episode of the Overrun Podcast, hosts Ed Bauter and Dan Schwester engage with Scott Weingart to discuss critical topics in emergency medical services (EMS). The conversation covers the importance of whole blood in prehospital care, the logistical challenges of blood supply, and strategies for overcoming resistance to change within EMS systems. They also delve into advancements in d...

Summary In this episode of the Overrun Podcast, Ed Bauter and Dan Schwester welcome Anthony Christian, known as Badge502, to discuss the impact of social media on EMS and medicine. They explore Badge502’s journey from EMT to social media influencer, the importance of humor and mental health in the EMS community, and the challenges of navigating social media policies. The conversation also touches...

Summary In this episode of the Overrun Podcast, Dr. Andrew Fisher discusses the implications of using whole blood in emergency medical services (EMS), particularly in relation to trauma care and sepsis. The conversation explores the benefits and complications of whole blood transfusions, the financial challenges faced by EMS systems, and the importance of community engagement in supporting these p...

Summary In this episode, Dr. Peter Antevy discusses the critical role of EMS in the early treatment of sepsis, challenging the traditional view that sepsis is solely a hospital issue. He emphasizes the importance of data-driven approaches, early intervention, and the need for EMS to adopt effective treatment protocols. The conversation highlights the potential for EMS to significantly impact patie...

Summary In this episode of the Overrun Podcast, Ed Bauter speaks with Greg Clopp, a former paramedic turned nurse anesthetist, about the evolution and nuances of Rapid Sequence Intubation (RSI) in emergency medicine. They discuss the importance of understanding patient needs, the role of various medications, and the shift towards Delayed Sequence Intubation (DSI) as an alternative to RSI. The conv...

Summary In this episode of the Overrun Podcast, Ed and Dan welcome intensivist Eddie Joe Gutierrez to discuss the use of vasopressors in emergency medical services (EMS). The conversation covers the challenges of peripheral IV access, the importance of early vasopressor administration in hypotensive patients, and the evolving understanding of fluid resuscitation in sepsis. Eddie emphasizes the sig...

Summary In this episode of the Overrun Podcast, Ed Bauter and Dan Schwester engage with immigration attorney Matthew Hartnett to discuss the complex interactions between EMS professionals and ICE agents. The conversation delves into the rights of EMS workers and patients, the legal boundaries of ICE’s jurisdiction, and the importance of maintaining patient privacy under HIPAA during emergencies. H...

Summary In this episode of the Overrun Podcast, Ed and Dan engage with Judyth Brown, an experienced instructional designer, to discuss the challenges and opportunities in EMS education. They explore the differences between instructing and educating, the importance of effective instructor training, and the need for a focus on entry-level competence. Judyth emphasizes the significance of integrating...

Summary In this episode of the Overrun Podcast, Ed Bauter, Dan Schwester, and Dr. Michael DeFilippo discuss the recent advancements in dual sequential defibrillation for refractory ventricular fibrillation (VFib). They explore the importance of understanding the nuances between refractory and recurrent VFib, the significance of patient history in cardiac arrest situations, and the latest findings...

Summary In this year-end special episode of The Overrun podcast, Ed Bauter, Dr. Mike DeFilippo, and Dr. Michael Stone discuss five significant papers from the year that impact emergency medical services (EMS). The conversation covers non-invasive ventilation for pre-oxygenation during intubation, the early administration of adrenaline in out-of-hospital cardiac arrest, and the effectiveness of dif...

Summary  In this conversation, Dr. Devin Dromgoole discusses the evolving role of ultrasound in emergency medical services (EMS). He highlights the feasibility, cost, and training required for EMS providers to effectively use ultrasound in pre-hospital settings. The discussion covers practical applications of ultrasound, including its use in trauma, undifferentiated shortness of breath, and vascul...

Summary In this episode of the Overrun Podcast, the hosts discuss the importance of EMS education, the role of conferences, and the impact of misinformation in the field. They critique the Stand and Deliver program and address the need for evidence-based practices while navigating biases in EMS. The conversation emphasizes the importance of mentorship and affirming the humanity of patients in pre-...

Summary In this conversation, Dan Schwester interviews Dan Gerard, a senior medic, about the generational divide in EMS and the importance of learning from experienced medics. They discuss the need for mentorship and the transfer of knowledge from senior medics to younger generations. They also highlight the importance of interpersonal dynamics, observational skills, and physical exam techniques i...

Summary In this conversation, Amy Eisenhauer discusses the qualities of a good leader in EMS and the importance of mentoring. She emphasizes the need for leaders to care about their people and listen to their needs and goals. Amy also highlights the value of having a mentor and a board of directors to support and guide one’s career. The conversation touches on the challenges of leadership in EMS,...

Summary In this episode, Dr. Zaf Qasim discusses advances in medical resuscitation and the future of cardiac arrest care. The conversation covers topics such as compression-only CPR, the controversy surrounding head-up CPR, the use of band and piston-driven devices, and the potential of extracorporeal cardiopulmonary resuscitation (eCPR). The importance of good dispatch and patient selection is em...

Summary In this episode, Dr. Ken Milne discusses two studies related to emergency medicine. The first study examines the use of small adult ventilation bags in out-of-hospital cardiac arrest. The study found that small bags were associated with a lower rate of return of spontaneous circulation (ROSC) compared to standard bags. However, this was an observational study and more research is needed to...

A Block Dr. Tristan Glenn discusses diversity, equity, and inclusion (DEI) in the context of EMS. He emphasizes the importance of understanding and valuing individual identities and lived experiences. Microaggressions are explored as harmful behaviors that communicate negative appraisals of individuals. The lack of diversity in EMS is highlighted, and the need for purposeful recruitment and commun...