In this episode, we’re tackling the tricky world of tachycardia with normal blood pressure. We’ve all been there — the monitor shows a heart rate racing into the 150s, but the patient looks fine. Or do they? We’ll break down real-world cases, dive into the most common causes of tachycardia in the field, and share how to tell when it’s time to stay calm versus when it’s time to act. From anxiety and dehydration to hidden arrhythmias, we’re covering it all. Tune in for assessment tips, a few wild stories, and why “stable vitals” doesn’t always mean a stable patient.

The Crew will be answering listener questions with zero prep and 100% honesty. From field fails to flight dreams, leadership lessons to life advice, nothing’s off the table. It’s raw, real, and probably a little chaotic… just like a good shift.

Being the new medic isn’t easy—but it doesn’t have to break you. These are the five lessons we carry with us every shift, born from the chaos, challenges, and unexpected wisdom of life on the truck. If you’re new to EMS or mentoring someone who is, this episode might just change the way you show up.

Every EMS provider has had that moment—patient stable, vitals fine, but something just isn’t right. This episode dives into the rare, the weird, and the “what the hell is this?” moments in prehospital care. From true zebras to obscure conditions, we’ll talk through uncommon diagnoses you might actually run into on the job, how to recognize red flags, and what to do when your gut says “this isn’t normal.” Stay curious. Stay ready.

In this episode, we break down why low-impact trauma in geriatric patients is anything but low risk. From hidden internal bleeding to delayed presentations and undertriage, we talk through the clinical red flags, communication challenges, and field decisions that can make all the difference.

This isn’t just about trauma—it’s about changing the way we see and serve our most vulnerable patients.

In this episode, we’re diving into the critical role of Tranexamic Acid (TXA) and blood products in trauma care. From stopping the bleed to saving lives, we’ll break down when to use TXA, the latest protocols for blood administration, and real-world insights from the field. Whether you’re making split-second decisions in the back of an ambulance or at the bedside, this is the conversation every provider needs to hear.

In EMS, your documentation is your defense—but are you writing reports that truly protect you and reflect your care? In this episode, we dive deep into the do’s and don’ts of EMS documentation, from avoiding common mistakes to writing clear, objective, and legally sound reports. Learn how to document refusals, describe patient behavior without bias, and ensure every PCR tells the full story. Whether you’re a new provider or a seasoned medic, this episode will sharpen your documentation skills and help you avoid the pitfalls that could come back to haunt you.

From the streets to the skies, Sophie’s journey into helicopter EMS is taking off—literally. In this episode, she shares what it’s like to transition from ground paramedic to flight medic, tackling the intense training, new challenges, and life-saving decisions at 2,000 feet. Jaime and Aubrey fire off their questions about the realities of HEMS, from patient care to the wildest calls. Buckle up and get ready for some high-flying EMS talk!