Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers
Loud & Clear: EMS Guiding Principles is a continuing-education podcast for paramedics, EMTs and other prehospital care providers. Hosted by Ross Orpet, a paramedic turned EMS physician, it moves past rigid treatment algorithms to explore the underlying principles that explain why we do what we do. Episodes feature discussions with experts, reviews of evidence-based best practices and real-world case studies drawn from emergency calls. Each topic is tied back to the guiding question of what actually matters to the patient in front of you. The goal is to help clinicians build a decision-making framework that holds up when a call does not fit the textbook.
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When You Can’t Stop the Bleeding: Inside A Massive Trauma Case 05.10.2026 33minA mangled extremity, uncontrolled bleeding, bad weather grounding every helicopter nearby, and a trauma center nearly an hour away. Sometimes the biggest challenge is figuring out what to do when the ideal plan is no longer available.Ross talks with critical care flight paramedic Jim Phipps about a severe farm-auger injury that pushed multiple teams to adapt in real time. Jim walks through how the responding EMS crew, local hospital, flight team, and receiving trauma center each had to solve a different part of the problem while keeping the patient moving toward definitive hemorrhage control.This episode covers tourniquet reassessment during resuscitation, wide-band and junctional hemorrhage control, hypotensive resuscitation, whole blood, contingency planning, and the communication required when a team realizes its current strategy is not going to work. Jim also explains the workable solution that helped get this patient to the operating room alive.In this episode, you’ll learn: Why a tourniquet that controlled bleeding initially may need to be tightened again How wide circumferential compression can help when a tourniquet no longer has enough usable tissue to work with What “accuracy, brevity, and clarity” sounds like when a resuscitation team needs to change plans quickly Why asking yourself for 3 things that went well and 3 things to improve can make a post-call reflection more useful Resources:Want more? Sign up for our weekly newsletter, The Confidence Dispatch.Want individualized coaching and mentorship? Check out The Loud & Clear Fellowship.Just have a question and want some personalized help? Book a free coaching call with us.Episode 136: From Tractor Rollovers to Grain Entrapment: A Field Guide to Farm Emergencies Guests:Jim Phipps, Critical Care Flight Paramedic, UNC Air Care -
Maternal Trauma Emergencies: What Changes in the Pregnant Patient 28.09.2026 18minPregnancy can make even experienced clinicians second-guess decisions. Can you image the patient? Can you cardiovert? Should the trauma assessment change? And at what point does the fetus become part of the resuscitation?Will talks with maternal-fetal medicine physician Dr. Johanna Quist-Nelson about what matters when caring for a pregnant trauma patient, where fetal assessment fits into the trauma survey, how pregnancy changes positioning and oxygenation goals, why necessary diagnostic imaging should not be withheld, and what clinicians should understand about maternal cardiac arrest and resuscitative hysterotomy. She also addresses the emotional impact these rare, high-stakes cases can have on families.In this episode, you’ll learn: Why bleeding may be an important clue after trauma even when the pregnant patient appears stable How lateral uterine displacement can improve venous return without compromising chest compressions Why an unstable arrhythmia in pregnancy should not automatically delay electrical cardioversion What a low fibrinogen level can signal differently in a pregnant trauma patient Resources:Want more? Sign up for our weekly newsletter, The Confidence Dispatch.Want individualized coaching and mentorship? Check out The Loud & Clear Fellowship.Just have a question and want some personalized help? Book a free coaching call with us.MomBaby.orgUNC Center for Maternal and Infant Health Perinatal Emergency ChecklistsGuests:Dr. Johanna Quist-Nelson, maternal-fetal medicine physician -
Training for the Big Call: How Emergency Teams Can Build Better Performance Under Pressure 21.09.2026 57minThe hardest calls fall apart when communication is unclear, roles blur, feedback feels personal, and the team starts working around each other instead of with each other.Today, Ross and Will talk with Dr. Daryl Johnson, Adult Trauma Medical Director for the UNC Health Trauma Program, about what it takes to build teams that can perform consistently under pressure, how leaders can manage disagreements without shutting down valuable input, and why relationships built during ordinary shifts matter.Dr. Johnson also shares how UNC uses shared processes, simulation, video review, coaching, and deliberate repetition to create consistency across an ever-changing team, and why excellence has to become something clinicians practice on ordinary cases rather than something they hope to switch on for a big one.In this episode, you’ll learn: What a question or disagreement from a teammate may signal about a leader How reviewing “game film” can help clinicians recognize their own blind spots Why lower-acuity calls are an opportunity to rehearse the habits you’ll need during a resuscitation What “smooth is fast” really means when the goal is to reduce chaos Resources:Want more? Sign up for our weekly newsletter, The Confidence Dispatch.Want individualized coaching and mentorship? Check out The Loud & Clear Fellowship.Just have a question and want some personalized help? Book a free coaching call with us.UNC Health Trauma ProgramTeamSTEPPS Guests:Dr. Daryl Johnson, Adult Trauma Medical Director, UNC Health Trauma Program -
From Tractor Rollovers to Grain Entrapment: A Field Guide to Farm Emergencies 14.09.2026 51minThe mechanism behind agricultural emergencies can completely change the risk to both the patient and the responders arriving to help.Ross talks with Jessica Wilburn, Agromedicine Nurse Coordinator, and Maggie Denning, Outreach Coordinator with the North Carolina Agromedicine Institute, about the injuries and environmental hazards first responders may encounter in agricultural communities. They cover tractor rollovers, livestock injuries, pesticide and fumigant exposure, grain-bin entrapment, hydraulic injection injuries, and machinery involving augers and power takeoff shafts.The conversation also covers responder safety, including how to recognize when machinery is still energized, why a barn or greenhouse call may involve dangerous chemical exposure, and how local farmers can sometimes be one of your best sources of information.In this episode, you’ll learn: Why farmers often minimize injuries, and why “minor” complaints deserve a closer look Why grain bins and manure lagoons can create secondary victims when rescuers enter How a tiny hydraulic-fluid puncture wound can threaten an entire extremity despite looking benign at first What a first responder should do first when approaching moving farm machinery Resources:Want more? Sign up for our weekly newsletter, The Confidence Dispatch.Want individualized coaching and mentorship? Check out The Loud & Clear Fellowship.Just have a question and want some personalized help? Book a free coaching call with us.North Carolina Agromedicine Institute Guests:Jessica Wilburn, Agromedicine Nurse Coordinator, North Carolina Agromedicine Institute Maggie Denning, CNA and Outreach Coordinator, North Carolina Agromedicine Institute -
The First 60 Seconds After ROSC: How To Prevent Re-Arrest 07.09.2026 35minThe First 60 Seconds After ROSC: How To Prevent Re-Arrest How do you improve your resuscitation systems beyond the ACLS algorithm? Will talks with Ian Blanchard, Senior Scientist for Alberta’s provincial EMS system about the “frame of survival” and why rehearsing equipment placement and vector change can make critical actions nearly automatic when the call comes in. Then, Ross talks with Mike Humphrey of Lethbridge Fire and Emergency Services about what happened when his team reviewed their cardiac arrests and discovered a recurring pattern: post-ROSC hypotension followed by a near 50% re-arrest rate. Their response was to redesign post-ROSC care around the first 60 seconds to prevent life-sustaining therapies from disappearing during the transition of care.In this episode, you’ll learn: What “doing reps in the clinical gym” looks like when you don’t have access to a high-fidelity simulator Why moving a cardiac-arrest patient too early can undermine CPR quality and make resuscitation worse What 1 minute blood pressure reassessments can reveal that a single “good” post-ROSC pressure may miss Why a vasopressor-dependent patient should stay on the EMS stretcher The best time to prepare for vector change, pit-crew roles, and post-ROSC care Resources:Want more? Sign up for our weekly newsletter, The Confidence Dispatch. Want individualized coaching and mentorship? Check out The Loud & Clear Fellowship. Just have a question and want some personalized help? Book a free coaching call with us. Canadian Resuscitation Outcomes ConsortiumResuscitation AcademyInternational Liaison Committee on ResuscitationEpisode 133: Post-ROSC Care & Pacing: Prove the PerfusionGuests:Ian Blanchard, former paramedic and Senior Scientist for Alberta’s provincial EMS system Mike Humphrey, Lethbridge Fire and Emergency Services -
Post-ROSC Care and Pacing: Prove the Perfusion 31.08.2026 1h 6minGetting a pulse back feels like a win. Seeing pacer spikes and something that resembles a pulse feels reassuring. But in both situations, the monitor can make you feel better before the patient actually is.Geoff Murphy of Master Your Medics breaks down the fragile minutes after return of spontaneous circulation. He explains why hypotension deserves immediate attention, how falling end-tidal CO2 can warn that cardiac output is deteriorating, and when fluids can serve as a short bridge to vasopressors.Then, paramedic Jacob Miller challenges some of the assumptions clinicians learn about transcutaneous pacing. He discusses pad placement, pacing current, ultrasound, pharmacologic support, and why clinicians need to keep reassessing even after they think they have capture.In this episode, you’ll learn: Why an initially normal blood pressure after ROSC can be falsely reassuring How skeletal muscle contraction during pacing can create ECG artifact and a false sense of mechanical capture What can improve your chances of capturing a patient when transcutaneous pacing is needed Why practicing the pacer during routine monitor checks can make a rare, high-stress call much easier to manage Want more? Sign up for our weekly newsletter, The Confidence Dispatch. Want individualized coaching and mentorship? Check out The Loud & Clear Fellowship. Interested in ABLS Now? Our listeners get 10% off with code LOUD26POD. Jacob’s Resources:Article with images of false vs true electrical capture: Kimbrell J, Kreinbrook J, Poke D, et al. False Electrical Capture in Prehospital Transcutaneous Pacing by Paramedics: A Case Series. Prehosp Emerg Care. 2024;28(7):928-936. doi: 10.1080/10903127.2024.2321287 Link to Scott Weingart's EMCrit podcast episode discussing false positive SpO2 signal without actual capture: https://emcrit.org/emcrit/tcp-pulse-ox-fail/ Jacobs website with handout version of my slides: https://jacobmilleracnp.com/slides/ Guests:Geoff Murphy, Founder and Lead Educator of Master Your Medics Jacob Miller, paramedic, flight nurse, critical care nurse, nurse practitioner, and DNP -
Burn Care in EMS: What Actually Matters in the First 15 Minutes 24.08.2026 1h 2minBurn patients can create a disproportionate amount of anxiety. The calls are uncommon, the injuries can be visually overwhelming, and it is easy to get distracted by the burn itself.Ross and Will talk with Mark Johnston, a longtime Advanced Burn Life Support instructor and burn program leader at Regions Hospital, about simplifying prehospital burn care. Mark explains how most burn patients should be approached and why you need to resist the urge to make wound care the first priority. They also dig into the findings that should make you truly concerned about an inhalation injury, how to estimate total body surface area, and which smaller burns still warrant burn-center evaluation.In this episode, you’ll learn: Which airway findings increase concern for inhalation injury Why the simple 125/250/500 mL-per-hour approach can be more useful in the field than calculating a full Parkland formula How mechanism changes your priorities in thermal, chemical, electrical, and enclosed-space burns How wet dressings and aggressive wound care can increase heat loss or distract clinicians from early interventions Resources:Want more? Sign up for our weekly newsletter, The Confidence Dispatch.Want individualized coaching and mentorship? Check out The Loud & Clear Fellowship.Just have a question and want some personalized help? Book a free coaching call with us.Interested in ABLS Now? Our listeners get 10% off through the end of August.The Emergency Mind: Wiring Your Brain for Performance Under Pressure, by Dan Dworkis, MD PhDPeak Performance Under Pressure, by Stephen HearnsEpisode 109: Understanding the EMS Power CurveGuests:Mark Johnston, BSN, RN, TCRN, Burn Program Manager at Regions Hospital -
Readiness Beyond the Medicine: Neurodivergence, Pediatrics, and Better Communication 17.08.2026 51minReadiness is about more than knowing the medicine. It’s about creating the conditions for patients, families, and clinicians to feel safer and more capable when the situation is unfamiliar, overwhelming, or high risk.First up, Boston MedFlight flight nurse Nicole King discusses neurodivergence, sensory overload, and how traditional EMS behaviors can unintentionally escalate distress. She explains why slowing down, reducing stimuli, and involving caregivers can completely change the experience for patients who are struggling.Then, Ross talks with pediatric flight nurse and Blakery Content creator Christopher Blake about pediatric readiness and why confidence on low-frequency, high-risk calls has to be built before the tones drop. They discuss pediatric emergency care coordinators, agency-wide readiness, and using QA/QI.In this episode, you’ll learn: How to recognize when behavior may be the result of sensory overload or difficulty processing the environment Why pictograms, fidget toys, headphones, sunglasses, and weighted pressure can reduce escalation How a Pediatric Emergency Care Coordinator can help an agency identify gaps Why family-centered communication can reduce fear and improve cooperation How to adapt your assessment when a patient cannot tolerate standard vital-sign monitoring Resources:Want more? Sign up for our weekly newsletter, The Confidence Dispatch.Want individualized coaching and mentorship? Check out The Loud & Clear Fellowship.Just have a question and want some personalized help? Book a free coaching call with us.Interested in ABLS Now? Our listeners get 10% off through the end of August. Pediatric Readiness AssessmentKultureCityBen’s Blue Bags and Carter KitsEmergency Medical Services for Children Innovation & Improvement CenterBirth Vibes: Stories & Strategies for An Empowered Birth, by Jen Hamilton Guests:Nicole King, flight nurse, Boston MedFlightChristopher Blake, pediatric flight nurse and creator of Blakery Content -
Heat Stroke: Recognition, Cooling, and Transport Decisions 10.08.2026 47minWhat differentiates heat stroke from heat exhaustion? Once central nervous system dysfunction appears, every minute spent at an elevated core temperature increases the risk of permanent neurologic injury or death.Ross and Will talk with emergency physician and wilderness medicine specialist Dr. Greg Doctor about the full spectrum of heat-related illness – from heat cramps, rash, and edema to syncope, exhaustion, and life-threatening heat stroke. They discuss how to avoid anchoring on the heat when a patient loses consciousness and what the critical dividing line between heat exhaustion and heat stroke is. They also examine exercise-associated hyponatremia, drug-related hyperthermia, fluid selection, and the patients who may remain at risk even after they initially appear to recover.In this episode, you’ll learn: How to distinguish heat syncope, heat exhaustion, and heat stroke Why central nervous system dysfunction and an elevated core temperature matter most How to choose between cold-water immersion, continuous water and fanning, ice sheets, and ice-water slurry techniques When transport should be delayed for on-scene cooling, and when cooling should continue Resources:Wilderness Medical Society Clinical Practice Guidelines for the Prevention & Treatment of Heat Illness: 2024 UpdateUnlocking Syncope with Matt MendesThe Critical Care of the Sick Runner: A Comprehensive Guide with Dr. Whitney BarrettWant more? Sign up for our weekly newsletter, The Confidence Dispatch.Want individualized coaching and mentorship? Check out The Loud & Clear Fellowship.Just have a question and want some personalized help? Book a free coaching call with us.Interested in ABLS Now? Our listeners get 10% off through the end of August. Guests:Dr. Greg Doctor, emergency physician and wilderness medicine specialist -
The Pursuit of Mastery: Preparation, Mentorship, and Learning From Mistakes 03.08.2026 48minMost people picture a master clinician as the person in the room who knows every answer. In reality, mastery looks like the opposite, and admitting what you do not know.Ross talks with FlightBridgeED co-founder Eric Bauer about the “rage to mastery”, the advice that kept him in EMS after a series of difficult calls nearly drove him away, why expertise is perishable, and how ego creates resistance to learning. Then, Will speaks to Master Your Medics founder Geoff Murphy about a medication error that changed how Geoff understood team culture. They explore what happened, and why psychological safety does not lower the standard. In this episode, you’ll learn: Why sustainable learning habits are more valuable than ambitious goals How experienced clinicians can model vulnerability without undermining their credibility What to look for in a mentor who will challenge blind spots How to turn an uncomfortable call into action-oriented preparation for the next patient Resources:Want more? Sign up for our weekly newsletter, The Confidence Dispatch.Want individualized coaching and mentorship? Check out The Loud & Clear Fellowship.Just have a question and want some personalized help? Book a free coaching call with us.Interested in ABLS Now? Our listeners get 10% off through the end of August. Guests:Eric Bauer, CEO and Co-Founder of FlightBridgeEDGeoff Murphy, Founder and Lead Educator of Master Your Medics -
Mass Casualty Readiness, Burn Decisions, and the Fundamentals That Save Lives 27.07.2026 1h 3minThe calls that scare clinicians the most are often the ones they have the fewest opportunities to practice.So what happens during a rare, high consequence emergency? First, Jennifer Barnhart of Austin-Travis County EMS and Sergeant Luke Serrato of the Austin Police Department discuss the response to a mass casualty shooting on Austin’s Sixth Street. Then, Ross talks with Allen Wolfe about three unusual burn and blast-injury cases. They discuss when a smaller burn may still warrant transfer to a burn center, how to recognize an airway that may require an early surgical approach, what a blast mechanism can reveal about hidden injuries, and why protecting burned tissue cannot come at the expense of protecting the airway.In this episode, you’ll learn: How shared language and closed-loop communication help EMS and law enforcement move together Why responders may need to pass ambulatory or vocal patients to reach those who cannot self-rescue What disrupted tympanic membranes, clothing patterns, circumferential facial burns can reveal Resources:Want more? Sign up for our weekly newsletter, The Confidence Dispatch.Want individualized coaching and mentorship? Check out The Loud & Clear Fellowship.Just have a question and want some personalized help? Book a free coaching call with us.Interested in ABLS Now? Our listeners get 10% off and a chance to win a free subscription. Enter before August 1, 2026. Guests:Jennifer Barnhart, Clinical Specialist, Austin-Travis County EMSSergeant Luke Serrato, Austin Police DepartmentAllen Wolfe, Senior Director of Clinical Education and Clinical Nurse Specialist at Life Link III -
What the Evidence Really Says About Cervical Collars with Dr. Jeff Jarvis and Dr. Ben Abo 20.07.2026 1h 16minThe hardest part of evidence-based medicine is not finding a paper. It is deciding whether that paper should change what you do on your next shift.First, we talk with Dr. Jeff Jarvis about how to evaluate medical literature beyond the headline, abstract, conclusion, or p-value. You’ll hear about the PICO framework and why patient-oriented outcomes should matter more than the numbers that are easiest to measure.Then, Ross talks with emergency physician Dr. Ben Abo about the evidence surrounding rigid cervical collars. He also shares how his EMS system removed collars from its ambulances by involving trauma surgeons, neurosurgeons, emergency clinicians, and frontline providers in the change. In this episode, you’ll learn: How to use population, intervention or exposure, comparison, and outcome to decide whether a study applies to the patients you actually treat Why return of spontaneous circulation, p-values, and national benchmarks can distract clinicians from the outcomes patients care about most What the literature suggests about cervical collars, spinal cord perfusion, airway compromise, aspiration risk, intracranial pressure, and pressure injuries How to bring research to a medical director and change a long-standing protocol Resources:NAEMSP Trauma Compendium: Prehospital Management of Spinal Cord InjuriesWant more? Sign up for our weekly newsletter, The Confidence Dispatch.Want individualized coaching and mentorship? Check out The Loud & Clear Fellowship.Just have a question and want some personalized help? Book a free coaching call with us.Interested in ABLS Now? Our listeners get 10% off and a chance to win a free subscription. Enter before August 1, 2026. Guests:Dr. Jeff Jarvis, MD, MS, EMT-PDr. Ben Abo, DO, EMT-PGuest Host: Matt Hedlun, Battalion Chief of Education at Thompson Valley EMS -
The Three Building Blocks of Trust in EMS 13.07.2026 1h 8minTrust is the architecture behind every patient interaction you run. Dr. Cory Scheer, author of Closing the Trust Gap, has identified three evidence-based building blocks of trust: competency, problem-solving, and care for others. It turns out EMS providers already use all three the moment they step on scene. In this episode, we unpack the gap between senior leaders and frontline EMS workers, what your "trust signature" reveals about how you naturally lead, and why imposter syndrome might be a signal worth listening to instead of pushing through. Book a Free Coaching Call · Sign up for the weekly newsletter · Check out The Loud & Clear Fellowship program. -
The Skill Is Not The Hard Part 29.06.2026 29minThe hardest part of a bad call is rarely the algorithm. In two different interviews I explore some human traps of running an EMS call. I talk with Danny and Rance from DNR Prehospital Education about a choking arrest, a difficult field intubation, and the trainer-trainee dynamic that made the call more complicated than the procedure itself. Then Bobby breaks down the CAFE pneumonic of heuristic traps: commitment, acceptance, familiarity, and expert halo. This episode moves from the protocol and algorithm to the human challenges of running. Want more? Sign up for our weekly newsletter The Confidence Dispatch Want individualized coaching and mentorship? Check out The Loud & Clear Fellowship Just have a question and want some personalized help? Book a free coaching call with us.Interested in ABLS Now? Our listeners get 10% off and a chance to win a free subscription (giveaway on July 1st, 2026). -
Treat Mom First: Amniotic Fluid Embolus and Other Peri-partum Emergencies 15.06.2026 54minA postpartum patient does not need to look dramatic to be in real danger. In this episode from FAST 26, Ross talks with Amy Loucks about pregnancy-related deaths, maternal care deserts, postpartum warning signs, hypertension, cardiomyopathy, infection, and the calls EMS can easily miss. Then Elizabeth Garchar walks through amniotic fluid embolism, now often framed as an anaphylactoid reaction of pregnancy: sudden cardiovascular collapse, right heart failure, DIC, TXA, whole blood, AOK, and the principle that matters most when everything goes bad: treat mom first. Interested in the Loud & Clear Fellowship? Sign up for a free coaching call to learn more. Sign up for a weekly newsletter The Confidence Dispatch for EMS performance tips delivered straight to your inbox. Episode Resources- CDC: Preventing pregnancy-related deaths — https://www.cdc.gov/maternal-mortality/preventing-pregnancy-related-deaths/index.html Amniotic fluid embolism overview — https://my.clevelandclinic.org/health/diseases/15463-amniotic-fluid-embolism AOK regimen for amniotic fluid embolism — https://pmc.ncbi.nlm.nih.gov/articles/PMC9477128/ https://www.marchofdimes.org/peristats/ https://www.marchofdimes.org/research/maternity-care-deserts-report.aspx https://saferbirth.org/ https://www.nmperinatalcollaborative.com/ -
Pressure Matters: Oxygenation vs. Ventilation in Pre-Oxygenation with Scott Weingart 07.06.2026 30minPre-Oxygenation is not just putting oxygen on the patient and hoping the sat buys you enough time. In this episode, Ross talks with Scott Weingart after his FAST26 talk on preventing peri-intubation arrest. They get into why many peri-intubation arrests are predictable and preventable, why shunt physiology requires pressure and not just FiO2, and how EMS clinicians can build a field-ready setup with a nasal cannula, BVM mask, PEEP valve, and continuous pressure. Scott also walks through low-, moderate-, and high-risk patients, why high-risk oxygenation patients may not be good RSI candidates, and what changes for asthma, aspiration risk, and morbid obesity. Book a FREE Coaching Call with Us Here Learn More About the Loud & Clear Fellowship American Burn Association ABLS Now giveaway and 10% listener discount PREOXI trial: Noninvasive Ventilation for Preoxygenation during Emergency Intubation PreVent trial: Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults EMS World Live + FAST 26 conference coverage Guest: Scott Weingart / EMCrit — https://emcrit.org/ -
Your Checklist Is Making You Worse: Why Pilots Use Checklists and Paramedics Don't 31.05.2026 1h 6minA checklist should reduce cognitive load. So why does yours make things worse? Airline pilot and safety officer Glenn Fisher breaks down how aviation refined checklists over decades of crash data and human factors research — from verification-only flows to abnormal read-and-do procedures to defining the criteria for what should actually earn a spot on the card. Want more? Book a Free Coaching Call at emspodcast.com/free-coaching-call Sign up for the weekly newsletter at empodcast.com/newsletterNASA papers on checklist design-Human Factors of Flight-Deck Checklists: The Normal Checklist COCKPIT CHECKLISTS: CONCEPTS, DESIGN, AND USE Design Guidance for Emergency and Abnormal Checklists in Aviation American Burn Association / ABLS: Enter the ABLS giveaway by June 30, 2026; the winner will be selected July 1, 2026. Loud & Clear listeners also get 10% off ABLS Now through August 31, 2026. Details: https://bit.ly/aba-loud-clear -
Pediatric Sepsis with Dr. Peter Antevy 21.05.2026 32minPediatric sepsis is easy to miss because the first hour often looks ordinary. Kids compensate, until they don't. In this episode, Will Berry talks with Dr. Peter Antevy about the case that still bothers him and why fluids, vasopressors, antibiotics, and hospital feedback all have to be treated as one resuscitation system. Book a Free Coaching Call with us at emspodcast.com/free-coaching-call Sign up for our weekly newsletter The Confidence Dispatch at emspodcast.com/newsletter American Burn Association / ABLS: Enter the ABLS giveaway by June 30, 2026; the winner will be selected July 1, 2026. Loud & Clear listeners also get 10% off ABLS Now through August 31, 2026. Details: https://bit.ly/aba-loud-clear -
How to Build Procedural Skills - That Actually Stick 14.05.2026 1h 37minMost EMS skills training creates an illusion of competence. You drill a procedure, check a box, and move on. But what does the research actually show about competency and retention? Dr. Jason Hine (EM physician, SimKit founder) breaks down the actual science of procedural skill acquisition: S-curves, encoding and consolidation, retrieval practice, and why expensive simulation labs often underperform cheap, high-rep lo-fi tools. Plus: a big announcement about SimKit and The Loud & Clear Fellowship. Book a Free Coaching Call at emspodcast.com/free-coaching-call Sign up for the weekly newsletter at emspodcast.com/newsletter SimKit - https://simkit.co Made to Stick - https://amzn.to/4d5B5qA American Burn Association / ABLS: Enter the ABLS giveaway by June 30, 2026; the winner will be selected July 1, 2026. Loud & Clear listeners also get 10% off ABLS Now through August 31, 2026. Details: https://bit.ly/aba-loud-clear -
How to Fail Better in EMS: A Framework for Growth 28.04.2026 16minStephanie Suzadail's favorite word is "fail." She'll tell you why and how we should embrace it. In this episode she walks through the difference between failure that builds you and failure that breaks you. Why Sisyphus is a warning, not a role model. Why the best clinicians you'll ever work with have made bigger mistakes than you have. Why high-functioning organizations report mistakes ten times more often than average ones. Why self-identified perfectionists only ever climb to "moderately successful." Book Your Free Coaching Call at emspodcast.com/free-coaching-call Sign up for the weekly newsletter - emspodcast.com/newsletter American Burn Association / ABLS: Enter the ABLS giveaway by June 30, 2026; the winner will be selected July 1, 2026. Loud & Clear listeners also get 10% off ABLS Now through August 31, 2026. Details: https://bit.ly/aba-loud-clear
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