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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 production
Episodes

2 hours ago
2 hours ago
Resources
- Get 10% off FAST25 with promo code- loud&clear
- The Resus Tailor
- Todays Episode Show Notes
- Survey- Help us learn what content you want
- 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- Daniel Markwalter, MD
Host- Ross Orpet, Will Berry
Catch up with us after the show
- Instagram- @emsloudandclear
- YouTube- https://www.youtube.com/@EMSLoudandClear
- Website- www.emspodcast.com

Friday Mar 28, 2025
Friday Mar 28, 2025
Resources
- The Resus Tailor - https://www.theresustailor.com/
- Get 10% off FAST25 with promo code- loud&clear
- 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- Allen Wolfe, Michael Frakes
Host- Ross Orpet, Will Berry
Catch up with us after the show
- Instagram- @emsloudandclear
- YouTube- https://www.youtube.com/@EMSLoudandClear
- Website- www.emspodcast.com

Wednesday Mar 12, 2025
Wednesday Mar 12, 2025
Resources that can help
Critical appraisal guides:
https://casp-uk.net/casp-tools-checklists/ (my personal favorite)
https://jbi.global/critical-appraisal-tools
Reporting guidelines (similar to appraisal guides, but more are standards for the investigators to use and follow):
- The Resus Tailor
- Enter to win Airpods, Cric-a-lot, and a belt buckle!
- Website show notes link
- Other episodes you might like:
- Podcast announcements
- Survey- Help us learn what content you want
- 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-
Host- Ross Orpet, Will Berry
Catch up with us after the show
- Instagram- @emscast
- Twitter- @ems_cast
- Website- www.emspodcast.com

Friday Feb 28, 2025
Why Your EMS Bag Could Be Failing You: Essential Design Tips You Need
Friday Feb 28, 2025
Friday Feb 28, 2025
Resources
- SPECIAL GIVEAWAY- AirPods, Cric-a-lot, Belt Buckle
- The Resus Tailor
- Website show notes link
- Podcast announcements- NEW NAME, Loud & Clear: EMS Guiding Principles
- 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- Adam LaChapelle, Founder and CEO of The Resus Tailor
Host- Ross Orpet, Will Berry
Catch up with us after the show
- Instagram- @emsloudandclear
- YouTube- @emsloudandclear
- Website- www.emspodcast.com
Music sponsored by Audio Library https://youtu.be/JoyIRE5k2Yo
Daylight by Alex-Productions https://soundcloud.com/alexproductionsmusic

Thursday Feb 20, 2025
NEW NAME! The podcast gets a new name, find out what and why...
Thursday Feb 20, 2025
Thursday Feb 20, 2025
Hello everyone, we have an exciting announcement. Today we are announcing our brand new name: Loud & Clear: EMS Guiding Principles. My name is Ross, and alongside my co-host, Will, we're thrilled to present this fresh chapter in our podcast journey.
Let's start with why we're rebranding and renaming. For close to five years now, we've been bringing you valuable continuing education through our podcast, originally named EMS Cast. Each year we have become more and more dedicated to our mission. However, as time passed, it became clear that our name didn't quite capture the essence of what we stand for—our mission or our identity as educators in the EMS field.
Will and I devoted significant effort into clarifying our mission this last year. Determining how we could create a framework to help you navigate the inevitable uncertainties in EMS, to put an emphasis on what truly and what principles will guide you through the uncertainty. This framework is going to allow us to bring you even better content with clearer messaging. We wanted a name that resonates with our commitment to provide in-depth discussions that extend beyond paramedic school learning but yet never loses sight of the fundamentals and guiding principles that actually matter. After months of brainstorming and reflection, Loud & Clear: EMS Guiding Principles felt like the perfect match—an embodiment of our dedication to make every lesson resonate strongly and clearly with you, the listener.
In the world of EMS, ‘loud and clear’ is a phrase many of us know very well, whether you’re checking in with dispatch over the radio at the start of your shift or confirming the receiving hospital can clearly understand you. It signifies that there is clarity and understanding in the message that is received. We aim to bring this clarity to every topic we discuss. Reinforcing our commitment to delivering information that is easy to comprehend and apply in real-life EMS situations, even when uncertainty abounds.
While our name may have changed and our episode framework has evolved, our mission has not. We will continue to provide high level education, seeking to teach you principles that enrich your knowledge beyond the textbooks you read in paramedic school, preparing you for the unexpected scenarios you’ll face in the field. You won’t find cookie-cutter approaches here—we’re dedicated to helping you understand and fall back on an understanding of fundamental principles that allow you to navigate the uncertainty and chaos with confidence.
Each episode of Loud & Clear will present high-level discussions about pathophysiology and treatment options. But more than that, every episode will guide you back to those time-tested EMS principles crucial for effective decision-making. This year promises ever more engaging content rich episodes, with an updated name, cover art, social media presence, and more as we embrace this exciting transition.
We can't wait to embark on this new journey with you, our dedicated listeners. Thank you for your support and enthusiasm. Remember—we’re here to ensure your learning experience is loud and clear.

Tuesday Feb 11, 2025
Tuesday Feb 11, 2025
Resources
- The Resus Tailor
- EMS Cast Syncope Blog Post
- Other episodes you might like: Wide Complex Tachycardia
- Podcast announcements- WE'RE RENAMING THE SHOW TO, LOUD & CLEAR: EMS GUIDING PRINCIPLES
- Survey- Help us learn what content you want
- 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- Matt Mendes, EM doc, Resident didactics coordinator, former EMS Cast Co-Host
Hosts- Ross Orpet, Will Berry
Catch up with us after the show
- Instagram- @emscast
- Twitter- @ems_cast
- Website- www.emspodcast.com
Music sponsored by Audio Library https://youtu.be/JoyIRE5k2Yo
Daylight by Alex-Productions https://soundcloud.com/alexproductionsmusic

Friday Jan 31, 2025
Invisible Scars: The Battle for Mental Health in EMS - PATH4EMS
Friday Jan 31, 2025
Friday Jan 31, 2025
Resources
- PATH4EMS website
- Today's Sponsor- The Resus Tailor
- Today's episode blog post
- Podcast announcements- We're rebranding! New name will be- Loud & Clear: EMS Guideline Principles. Look out for the changes coming soon.
- 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- Jessica Nelson, PATH4EMS coordinator
Host- Ross Orpet, Will Berry
Catch up with us after the show
- Instagram- @emscast
- Twitter- @ems_cast
- Website- www.emspodcast.com

Tuesday Jan 14, 2025
Wide Complex Tachycardia: Get Comfortable With Uncertainty
Tuesday Jan 14, 2025
Tuesday Jan 14, 2025
Resources
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- Dr. Kevin Butler, Emergency Physician, Lead Instructor for DHREM's EKG didactic curriculum
Host- Ross Orpet, Will Berry
Catch up with us after the show
- Instagram- @emscast
- Twitter- @ems_cast
- Website- www.emspodcast.com

Saturday Dec 28, 2024
Trailer - Loud & Clear: EMS Guiding Principles
Saturday Dec 28, 2024
Saturday Dec 28, 2024
You’ve looked at other paramedic continuing education resources but it’s the same basic material they taught you in school. There’s more you need to know, or you might miss something, someone might get hurt, or worse someone might die. You don’t feel ready. Your goal is to control the chaos. To become an expert in the field of prehospital medicine. And this is all driven by the desire to be there for someone on the worst day of their life. To change an outcome that would have otherwise been catastrophic if you weren’t there.
There’s no resource for the practicing paramedic to plug the holes that were left behind by paramedic school. Everything seems stuck in basic algorithms of “A” then “do B” but what do you do when "A” wasn’t in the book. We need to get away from the algorithmic thinking and instead shift to understanding the principles behind WHY if A then B.
The truth is, you can’t learn it all. Emergency Medicine includes too many pathologies and 911 calls are too unique and chaotic to know the answer to every situation. Instead of trying to learn every answer to every call, you need guiding principles for your knowledge to stand on. If you build these principles they become the foundation for every call no matter the complaint, for every situation, no matter the chaos surrounding you.
If you have the foundation you can be stable when the storm comes. You can know when to push forward or when to change course. And then each additional piece of advanced content that you learn can be added to that foundation to build on, because mastery is not a destination, it’s a journey and the journey never ends.
We are your hosts, Ross Orpet & Will Berry and this is EMS Cast.

Monday Dec 23, 2024
From Novice to Navigator: Mastering the Art of EMS Field Training
Monday Dec 23, 2024
Monday Dec 23, 2024
Resources
- Contact The Resus Tailor
- Watch this episode on YouTube
- Read the blog post for this episode
- Other episodes you might like:
- Podcast announcements- Big news coming in 2025! Stay Tuned!
- Survey- Help us learn what content you want
- 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- Josh, Cody, Moose
Host- Ross Orpet, Will Berry
Catch up with us after the show
- Instagram- @emscast
- Twitter- @ems_cast
- Website- www.emspodcast.com