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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
Jul 27, 2026
Jul 27, 2026
1hr 3 min
The 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:
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Guests:
Jennifer Barnhart, Clinical Specialist, Austin-Travis County EMS
Sergeant Luke Serrato, Austin Police Department
Allen Wolfe, Senior Director of Clinical Education and Clinical Nurse Specialist at Life Link III
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