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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

Saturday Aug 16, 2025
Saturday Aug 16, 2025
What's the real difference between paramedics who stay calm under pressure and those who panic when everything goes wrong? It's the ability to already know what comes next. In this episode we explore the power of consistency and how one simple tool, often dismissed, can improve patient care and outcomes. Geoff Murphy, founder of Master Medics, sat down with us onsite at FAST25 to discuss how checklists can not only save lives but allow you to remain confident in knowing what is next on scene. Not to mention they're a great training tool as well.
Resources
- Episode supplemental blog post- https://emspodcast.com/the-power-of-a-simple-tool-in-high-stakes-environments/
- The Resus Tailor - https://www.theresustailor.com/
- Podcast announcements: Our Paramedic Confidence Builder Program is officially underway. Stay tuned for updates on how everything is going. If you want to join a waitlist to be able join in the next cohort email us at ross@emspodcast.com
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- Geoff Murphy
Host- Ross Orpet, Will Berry
Catch up with us after the show
- Instagram- @emsloudandclear
- YouTube- https://www.youtube.com/@EMSLoudandClear
- Website- www.emspodcast.com

Saturday Aug 09, 2025
EXCITING NEWS! FIND OUT WHAT WE'VE BEEN WORKING ON.
Saturday Aug 09, 2025
Saturday Aug 09, 2025
Were have we been? Well, the truth is, we've been incredibly busy working on some really exciting projects.
If you're interested in joining the founding members cohort of the Paramedic Confidence Builder Course reach out to me at ross@emspodcast.com before August 15th.
Project #1: Understanding New Paramedic Challenges
We launched a research project diving deep into understanding exactly what newer paramedics struggle with as they make that transition from school into the real world of EMS.
We all remember that feeling - you graduate paramedic school, you pass your registry, you get your first job, and then... reality hits. The textbook scenarios suddenly become real patients with real families, real emergencies, and real consequences and it turns out none of those patients read the textbook. There's this gap between what you learned in class and what you need to know to be truly confident and effective on the streets.
We've been talking to new paramedics, experienced providers, educators, and EMS leaders to really understand where those gaps are. What are the specific challenges? What makes the difference between a new paramedic who struggles and one who thrives? This research has been fascinating, and it's going to inform not just the educational episodes we create going forward, but it's also led us to our next project.
Project #2: The Paramedic Confidence Builder Course
This is what we're most excited about - we've developed what we're calling right now the Paramedic Confidence Builder Course.
This isn't just another continuing education program. This isn’t just a set of pre-recorded lectures. This is about taking everything we've learned from our research and creating a comprehensive program to help bridge that gap between school and street confidence.
I'm talking about mentorship, coaching, practical scenarios, decision-making frameworks, and most importantly - building the kind of unshakeable confidence that lets you walk into any call knowing you've got the tools and mindset to handle whatever comes your way.
We've got a fantastic group of paramedics signed up for our founding members cohort, and we're about to launch in one week. If this sounds like something that might be a good fit for you, we do have a very short window left and only a few spots remaining in this founding cohort, but f you're interested, send me an email before August 15th at ross@emspodcast.com and we can chat about whether the course might be right for you.
Project #3: Continuing Education Credits
The third project we've been working on is the ability to get continuing education credits for listening to our episodes.
We're currently beta testing this system, and I'm optimistic that we'll have it ready to launch by the end of the year.
Looking Ahead
So that's what we've been up to.
The good news is we're back on track. We hope to have our next regular episode released next week, so tune in for some more of that high-level continuing education you've come to expect from us here at Loud and Clear.
Thank you again for being such an incredible community. Your support, your feedback, your engagement - it all matters. It's what drives us to keep pushing forward and finding new ways to serve you better.
Until next time, stay safe out there, keep learning, and remember - every call, no matter how big or small, is an opportunity to make a difference.

Monday Jun 30, 2025
Monday Jun 30, 2025
Renowned airway enthusiast, Dr. Rich Levitan, on mastering airway management. Explore his approach to simplifying complex tasks into achievable and believable steps. Every complexity incurs a debt to crisis performance, instead, learn how we can decrease stress and engineer success in crisis performance.
Resources
- YouTube link- https://www.youtube.com/watch?v=UWMJS-pKYKw
- The Resus Tailor - https://www.theresustailor.com/
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. Rich Levitan
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 Jun 18, 2025
The Cost of Saving Lives: Complications Arising from Pre-Hospital Tourniquet Use
Wednesday Jun 18, 2025
Wednesday Jun 18, 2025
Resources
- The Resus Tailor - https://www.theresustailor.com/
- Critical Appraisal Checklists- https://casp-uk.net/casp-tools-checklists/
- 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
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- Dr. Ben Li
Host- Ross Orpet, Will Berry
Catch up with us after the show
- Instagram- @emsloudandclear
- YouTube- https://www.youtube.com/@EMSLoudandClear
- Website- www.emspodcast.co

Saturday May 31, 2025
Saturday May 31, 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

Sunday May 25, 2025
The Art of Managing Agitated Patients
Sunday May 25, 2025
Sunday May 25, 2025
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/
- 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- 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

Wednesday Apr 30, 2025
Upper GI Bleed: Rescue Strategies From Recognition to Stabilization
Wednesday Apr 30, 2025
Wednesday Apr 30, 2025
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

Monday Apr 14, 2025
Monday Apr 14, 2025
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