Mike Carunchio

The World’s Okayest Medic Podcast

Health EN ↓ 365 episodes

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.

Author

Mike Carunchio

Episodes

(Early) Coffee Talk 3/12/26 12.03.2026 32:27

Listener discretion is advised.

Conversation with a Medical Director: Nate Zahustecher 10.03.2026 47:00

Listener discretion is advised.

Saturday Coffee Talk (3/7/26) 07.03.2026 35:53

Listener discretion is advised. Japanese Airway Study: Kubo A, Kunitatsu K, Nakashima T, Horitani R, Kajimoto Y, Inoue S, Hironishi M. Association between endotracheal intubation and outcomes of nonshockable out-of-hospital cardiac arrest in Japan. BMC Emerg Med. 2025 Sep 24;25(1):185. doi: 10.1186/s12873-025-01341-6. PMID: 40993541; PMCID: PMC12462024.

BONUS Mini Episode: Burn Intubation 02.03.2026 14:04

Listener discretion is advised.

Jen Brennan and Ben Podsiadlo 02.03.2026 35:24

Listener discretion is advised.

Saturday Coffee Talk (2/28/26) 28.02.2026 31:10

Listener discretion is advised.

The Coffee Talk is EARLY THIS WEEK (2/19/26) 19.02.2026 32:38

Listener discretion is advised. References: Varney J, Motawea KR, Mostafa MR, AbdelQadir YH, Aboelenein M, Kandil OA, Ibrahim N, Hashim HT, Murry K, Jackson G, Shah J, Boury M, Awad AK, Patel P, Awad DM, Rozan SS, Talat NE. Efficacy of heads-up CPR compared to supine CPR positions: Systematic review and meta-analysis. Health Sci Rep. 2022 May 24;5 Norii T, Lukas G, Samantaray A, Yabuki M, Olasveen...

Subarachnoid Hemorrhage 17.02.2026 34:42

Listener discretion is advised. References: Decorticate and Decerebrate Posturing. (Dec 18, 2025). David Goldemund. “Stroke Manual.” Available: https://www.stroke-manual.com/decorticate-and-decerebrate-posturing/ Schmutzhard, E. (2019). Central breathing disturbances in stroke. J. Neuro Sciences, 405 suppl. Torres AC, Bebarta VS, April MD, Maddry JK, Herson PS, Sciorilli JV, Rossi YI, Dos Reis Sch...

Sal Cortez and ISTM 16.02.2026 34:05

Listener discretion is advised.

Saturday Coffee Talk (2/14/26) 14.02.2026 42:38

Listener discretion is advised.

Nicole Hooser 09.02.2026 57:14

Listener discretion is advised.

SUNDAY (Late) Coffee Talk (2/8/26) 08.02.2026 35:47

Listner discretion is advised.

Dan Koloden 02.02.2026 47:31

Listener discretion is advised.

Saturday Coffee Talk (1/31/26) 31.01.2026 35:55

Listener discretion is advised.

Ryan Bolger 26.01.2026 41:50

Listener discretion is advised.

Saturday Coffee Talk (1/24/26) 23.01.2026 33:50

Listener discretion is advised. References: Bona & Friedman. (Apr 3, 2018). Ambulance Lights and Sirens Should Only Be Used When the Benefit Outweighs the Risks. Available: https://https://www.acepnow.com/article/ambulance-lights-and-sirens-should-only-be-used-when-the-benefit-outweighs-the-risks/ NTSB Preliminary Report: Available: https://verticalavi.org/wp-content/uploads/2026/01/Report_ERA...

Sal Cortez 19.01.2026 1:18:43

Sal Cortez has over forty years of experience as a paramedic and LEO. He has responded to two major active shooter incidents, worked as a flight medic, served on the California Governor's protection detail, and now runs TEMS training at the International School of Tactical Medicine. Listener discretion is advised.

Saturday Coffee Talk (1/17/26) 16.01.2026 33:00

Listener discretion is advised. References: PMID 12776641, 29463461

Dr. Nate Zahustecher: EMS Awareness of Medetomidine Overdose and Withdrawal 12.01.2026 38:40

Listener discretion is advised.

Saturday Coffee Talk (1/10/26) 10.01.2026 37:56

Listener discretion is advised.

Saturday Coffee Talk (1/3/26) 03.01.2026 43:55

Listener discretion is advised.

Saturday Coffee Talk (12/27/25) 27.12.2025 34:29

Listener discretion is advised.

Saturday Coffee Talk (12/20/25) 20.12.2025 38:28

Listener discretion is advised. CORRECTION: I mentioned that Precedex is an alpha antagonist. I misspoke and meant to say that it is an "agonist." References: Ehrman-Dupre R, Kaigh C, Salzman M, Haroz R, Peterson LK, Schmidt R. Management of Xylazine Withdrawal in a Hospitalized Patient: A Case Report. J Addict Med. 2022 Sep-Oct 01;16(5):595-598. doi: 10.1097/ADM.0000000000000955. Epub 2022 Jan 11...

Saturday Coffee Talk (12/13/25) 14.12.2025 31:48

Listener discretion is advised. References: Casey, J., Seitz, K., et al. (2025). Ketamine or Etomidate for Tracheal Intubation of Critically Ill Adults. NEJM. Available: https://www.nejm.org/doi/full/10.1056/NEJMoa2511420?query=featured_home Farkas. (Dec 10, 2025). PulmCrit: Hot take on RSI trial of ketamine vs etomidate. Available: https://emcrit.org/pulmcrit/rsitrial/ Srivatsa S, Chawla M, Herna...

HEMS Utilization and Safety Panel 09.12.2025 54:00

Listener discretion is advised.