Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers Podcast Por Ross Orpet Paramedic turned EMS Physician arte de portada

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

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

De: Ross Orpet Paramedic turned EMS Physician
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 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 framework. Through discussions with experts, review of evidence-based best practices, and real-world case studies we teach you one step past what you learned in paramedic school. But all of this advanced education is connected back to the guiding principles that answer the question- “at the end of the day, what actually matters to the patient I have in front of me?” Our mission is to elevate your practice and help you improve patient outcomes in every emergency situation. You may not feel ready, you may not feel like you know enough, but by understanding the guiding principles of emergency medicine you can become an expert EMS clinician. Because what you do matters. Loud & Clear: EMS Guiding Principles is an EMS Cast LLC productionCopyright 2020 All rights reserved. 657666
Episodios
  • Why Two Paramedics Watched Their Trainer Nearly Kill a Patient (And Said Nothing): How Lessons From The Aviation Industry Could Have Prevented It

    Why Two Paramedics Watched Their Trainer Nearly Kill a Patient (And Said Nothing): How Lessons From The Aviation Industry Could Have Prevented It
    Jun 1 2025

    A field trainer administers a non-indicated medication while two trainees watch in silence. Sound familiar?

    In this eye-opening episode, we dive deep into how the aviation industry transformed from a punitive, hierarchical culture to one where crews actively prevent catastrophic errors—and how YOU can apply these same principles on your next EMS shift.

    Our guest, Glen, a commercial airline pilot and aviation safety expert, shares how the aviation industry has revolutionized itself through such methodologies as just culture, crew resource management, and error prevention tools like the inquiry, advocacy, assertiveness model. We explore how these principles can be effectively applied in our EMS world to improve safety and performance. By the end of this episode, you'll walk away with practical tactics to implement on your next shift, ensuring you and your crew can handle high-stress situations with confidence and competence.

    Key Concepts Covered:

    • Crew Resource Management (CRM)
    • Just Culture principles
    • Aviation Safety Action Program (ASAP)
    • Power distance in medical teams
    • Human factors in emergency medicine
    • Error prevention strategies

    Books Mentioned by Glen:

    • Just Culture by Sidney Dekker - https://amzn.to/3Su0A9Y
    • The Myth of Multitasking: How "doing it all" gets nothing done - https://amzn.to/4dAFa4E
    • Crew Resource Management Practice and Principles- https://amzn.to/3ZIjXzZ
    • Threat & Error Management resources - https://skybrary.aero/articles/threat-and-error-management-tem

    Other Resources:

    • The Resus Tailor - https://www.theresustailor.com/
    • This Episodes Blog Post- https://emspodcast.com/what-airplane-crashes-teach-us-about-saving-lives-in-ems-lessons-in-crew-resource-management-and-just-culture-from-the-aviation-industry/

    Gear We Like:

    • Good Stethoscope - https://amzn.to/3YJJrf2
    • Good Shears - https://amzn.to/40FROuF or https://amzn.to/3ChZ4Tn
    • Notepad for taking notes on calls - https://amzn.to/3Z1X21J
    • Sunglasses - https://frontline-optics.com/discount/EMSCAST15

    Other books we recommend:

    • The Dichotomy of Leadership - https://amzn.to/4fiCAjN
    • Extreme Ownership - https://amzn.to/3O1FWfa
    • Managing the Unexpected: Sustained Performance in a Complex World - https://amzn.to/3V7BwYf
    • Thinking Fast and Slow - https://amzn.to/4fiJG85
    • A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back - https://amzn.to/3YJJrf2

    Guest/Cast/Crew information- Guest- Glen Host- Ross Orpet, Will Berry Catch up with us after the show

    • Instagram- @emsloudandclear
    • YouTube- https://www.youtube.com/@EMSLoudandClear
    • Website- www.emspodcast.com
    Más Menos
    1 h y 15 m
  • The Art of Managing Agitated Patients

    The Art of Managing Agitated Patients
    May 25 2025
    Effective agitated patient management requires a fundamental shift from viewing these encounters as behavioral problems to recognizing them as medical emergencies with underlying pathophysiological processes. By systematically addressing safety, identifying root causes, selecting appropriate pharmacological interventions, and maintaining rigorous post-sedation monitoring, EMS providers can dramatically improve outcomes for these challenging patients. Remember: you cannot talk someone out of a hypoglycemic crisis, hypoxic emergency, or sympathomimetic overdose. When verbal de-escalation fails, it's not your failure as a provider—it's an indication that medical intervention is required to address the underlying pathophysiology driving the patient's agitation. The goal isn't just to control behavior—it's to provide definitive medical care that addresses the root cause of the patient's distress while maintaining safety for everyone involved. Our guest is Patrick Hendley, a practicing paramedic and an expert in agitated patient management. We'll explore the pathophysiology behind agitation and essential strategies for EMS providers faced with these calls. We'll also examine sedation choices, restraint use, and post-sedation care through a lens of real-world EMS principles. Join us as we look at more than just de-escalation, but understanding and acting effectively and ethically to safeguard everyone involved. Don't forget to check out our sponsor, The Resus Tailor, for custom bag designs tailored to your EMS needs. Reach out to them at theresustailor.com. 00:00 Introduction to Loud and Clear EMS 00:27 Today's Topic: Managing the Agitated Patient 01:00 Guest Introduction: Patrick Henley 02:17 Sponsor Message: The Recess Tailor 03:01 Case Study: Agitated Patient Scenario 06:04 Understanding Agitation and Safety Principles 08:12 Sympathetic Nervous System and Agitation 10:00 Factors Contributing to Agitation 13:02 Drug Influence on Agitation 19:05 Safety Hierarchy in EMS 30:34 Transport Safety and Patient Management 33:07 Treating Underlying Causes of Agitation 39:08 Managing Patient Anxiety with Fentanyl and Oxygen 39:45 Using Ketamine for Pain Control and Sedation 40:25 Addressing Mixed Presentations: Schizophrenia and Substance Use 41:38 Treating Sympathomimetic Overdose and Psychosis 42:56 The Importance of Post-Sedation Monitoring 43:51 Verbal De-escalation and Benzodiazepines 45:00 Using Time as a Tool for Postictal Patients 46:11 Understanding Benzodiazepines and GABA Receptors 47:59 Antipsychotics and Ketamine: When Benzos Aren't Enough 59:17 The Role of Physical Restraints in Patient Management 01:08:43 Effective Handoff and Continuity of Care 01:18:11 Final Thoughts and Core Principles Resources
    • The Resus Tailor - https://www.theresustailor.com/
    • The Art of Managing Agitated Patients Supplemental Blog Post - https://emspodcast.com/the-art-of-managing-agitated-patients/
    Gear We Like
    • Books we recommend -
      • The Dichotomy of Leadership - https://amzn.to/4fiCAjN
      • Extreme Ownership - https://amzn.to/3O1FWfa
      • Managing the Unexpected: Sustained Performance in a Complex World - https://amzn.to/3V7BwYf
      • Thinking Fast and Slow - https://amzn.to/4fiJG85
      • A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back - https://amzn.to/3YJJrf2
    • Good Stethoscope - https://amzn.to/3YJJrf2
    • Good Shears - https://amzn.to/40FROuF or https://amzn.to/3ChZ4Tn
    • Notepad for taking notes on calls - https://amzn.to/3Z1X21J
    • Sunglasses - https://frontline-optics.com/discount/EMSCAST15
    Guest/Cast/Crew information- Guest- Patrick Hendley Host- Ross Orpet, Will Berry Catch up with us after the show
    • Instagram- @emsloudandclear
    • YouTube- https://www.youtube.com/@EMSLoudandClear
    • Website- www.emspodcast.com
    Más Menos
    1 h y 19 m
  • Upper GI Bleed: Rescue Strategies From Recognition to Stabilization

    Upper GI Bleed: Rescue Strategies From Recognition to Stabilization
    Apr 30 2025
    Let's delve into the critical steps required to manage an upper GI bleed in the field. This episode breaks down the recognition of risk factors, vital airway and circulation interventions, and best practices for transporting and notifying the hospital. We discuss important historical clues and provide insights on airway handling and circulatory support. Learn how to navigate these time-sensitive emergencies with speed and thoroughness to improve patient outcomes. 00:30 Host Introduction and Episode Overview 01:22 Recognizing Upper GI Bleeds 01:45 Sponsor Message: The Resus Tailor 02:38 Four Clues to Identify GI Bleeds 06:17 Critical Questions for GI Bleed Patients 09:47 Airway Management Strategies 15:21 Circulatory Support and IV Access 19:26 Medication Considerations 22:28 Transport and Hospital Notification 23:41 Conclusion and Viewer Engagement

    Resources

    • Get 10% off FAST25 with promo code- loud&clear
    • The Resus Tailor - https://www.theresustailor.com/
    • Website show notes link
    • Other episodes you might like:
    • Podcast announcements
    • Survey- Help us learn what content you want

    Gear We Like

    • Good Stethoscope - https://amzn.to/3YJJrf2
    • Good Shears - https://amzn.to/40FROuF or https://amzn.to/3ChZ4Tn
    • Notepad for taking notes on calls - https://amzn.to/3Z1X21J
    • Sunglasses - https://frontline-optics.com/discount/EMSCAST15
    • Books we recommend -
        • The Dichotomy of Leadership - https://amzn.to/4fiCAjN
        • Extreme Ownership - https://amzn.to/3O1FWfa
        • Managing the Unexpected: Sustained Performance in a Complex World - https://amzn.to/3V7BwYf
        • Thinking Fast and Slow - https://amzn.to/4fiJG85
        • A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back - https://amzn.to/3YJJrf2

    Guest/Cast/Crew information- Guest- Host- Ross Orpet, Will Berry Catch up with us after the show

    • Instagram- @emsloudandclear
    • YouTube- https://www.youtube.com/@EMSLoudandClear
    • Website- www.emspodcast.com
    Más Menos
    25 m
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