The team starts to discuss specifics of the expanded scope of practice. First up, the epinephrine auto-injector initiated by EMTs. EMTs are now able to give epinephrine via I.M. and broncho-dilators. Reconstituting Glucagon and administering it via IM is also part of the new EMT expanded scope of practice. Needle chest decompression and blood product administrations for advanced providers are also discussed.

Ray Pace has taken a back seat to the pod so that he can focus on his fire chief duties. Welcome back to A.J. Joseph as one of our rotating co-hosts for 2026.

The State Board of Emergency Medical, Fire, and Transportation Services (EMFTS Board) expanded the Ohio EMS Scope of Practice on December 17, 2025. First thing the gang discusses is what is and is not the scope of practice. How do we define it? What can Medical Directors write into protocols?

Key point to take away... just because something is in the expanded scope of practice doesn't mean that you can execute that skill without medical control and training.

The crew welcomes back Dr. Greg Stefano and Geoff Patty, RN from the interventional cardiology department. If you're listening to this episode, head over to our YouTube channel to see the visuals of actual cases.

An interesting discussion ensues about human and computer interpretations of various EKG strips.