

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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.
Episodes

Tuesday Aug 01, 2023
Tuesday Aug 01, 2023
Is your EMS agency prepared for a pediatric disaster? In this episode of EMS CAST, Dr. Jeffrey Upperman joins the hosts live at the Rocky Mountain Trauma and Emergency Medicine Conference. Dr. Upperman gave an entertaining and engaging lecture on what you need to start thinking about to be prepared for a pediatric disaster in your area. After his lecture he joined our podcast to discuss his passion for pediatric disaster preparedness and the journey he has taken over the past 15 years to develop educational platforms in this area. There are some easy steps you can take to make sure that you and your crew are prepared should a disaster strike. Tune in to learn more about Dr. Upperman's work and the importance of being prepared for emergencies involving children.
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EMS Cast Blog Post:
https://emspodcast.com/pediatric-disaster-preparedness/
Video of the Childrens Hospital Los Angeles disaster Olympix-
https://www.youtube.com/watch?v=sZVgdRj-bCc
And check out some more great resources here -
https://www.chla.org/trauma-program/pediatric-disaster-resource-and-training-center

Saturday Jul 15, 2023
It's Not Just Back Pain. Spinal Emergencies with Dr. Bo Burns.
Saturday Jul 15, 2023
Saturday Jul 15, 2023
Stop blowing off back pain patients! There may be a true emergency lurking underneath. Dr. Bo Burns teaches us why we should take atraumatic back pain so seriously. We're back with another episode from the RMTEMC. We dive deep into the topic of epidural abscesses and cauda equina. These are true spinal emergencies, so we should understand them. Our expert guest, Dr. Bo Burns shares valuable insights on how to recognize and diagnose, emphasizing the importance of a high index of suspicion. We also explore the role of pre-hospital providers in identifying at-risk patients and providing crucial information to the emergency department. Join us as we unravel the complexities of spinal emergencies and learn about the latest clinical decision tools and treatment options.
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Blog post- https://emspodcast.com/spinal-emergencies-a-closer-look-at-back-pain/

Saturday Jul 01, 2023
Saturday Jul 01, 2023
In this episode of EMSCast, hosts Ross Orpet and Will Berry discuss a lecture given by Dr. David Bliss on taking care of pediatric trauma patients. Dr. Bliss emphasizes the importance of supporting the psychosocial needs of pediatric patients, as they may not have the same coping skills as adults. He also discusses the unique challenges of treating pediatric trauma patients, including the need for specialized equipment, medication errors, and issues with diagnosis and communication. Listeners are encouraged to follow EMSCast on Instagram and visit their website emspodcast.com for more educational content.
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https://emspodcast.com/taking-care-of-pediatric-trauma-patients-with-dr-david-bliss/
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Saturday Jun 17, 2023
Why ECMO in the Trauma patient?
Saturday Jun 17, 2023
Saturday Jun 17, 2023
Earlier this month Ross and Will visited the Rocky Mountain Trauma and Emergency Medicine Conference. In addition to trauma games and sim wars, there were so many great lectures and EMS Cast was lucky enough to get to interview some of the speakers about their talks. We are excited to get to bring some of this great content to our listeners. Dr. Maria Moreira tells us about the conference and then Ross and Will sit down with Trauma Critical Care Fellow Dr. Chelsea Horwood to learn all the ins and outs of ECMO in the trauma patient.
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To see a list of this years lectures and events-
https://web.cvent.com/event/591e0026-80af-42cb-a801-ae94dd363ed6/summary
To learn more about ECMO-

Thursday Jun 01, 2023
A Better Way to Triage? New Trauma Guidelines from the American College of Surgeons
Thursday Jun 01, 2023
Thursday Jun 01, 2023
American College of Surgeons just updated their prehospital trauma triage recommendations. Learn about what the updates mean for paramedics and EMTs and how you can practice this on everyday EMS calls.
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EMScast15 for 15% Off Frontline Optics Sunglasses
Link to Blog Post-
https://emspodcast.com/trauma-triage-guidelines-update/
Link to ACS Trauma Triage Guidelines-
https://www.facs.org/quality-programs/trauma/systems/field-triage-guidelines/

Monday May 15, 2023
Monday May 15, 2023
Pharmacist, Kevin Kaucher, joins us to discuss the ins and outs of nitro in acute coronary syndrome. Does it work? Is sublingual better than paste? Can it be dangerous? Come learn the latest on nitroglycerin.
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EMScast15 for 15% Off Frontline Optics Sunglasses
For more info and to see the EKGs from the case:
https://emspodcast.com/the-truth-about-nitro-separating-fact-from-fiction/

Monday May 01, 2023
Monday May 01, 2023
Toxicology Fellow Nik Matsler joins us again to discuss more gas poisonings. Do you know how to properly protect yourself from hydrogen sulfide in the prehospital setting? EMS providers- come learn how to recognize these patients and where you might find them and most importantly how to keep yourself safe. We'll also discuss nerve agents and how to recognize and treat these as well.

Saturday Apr 15, 2023
Cyanide Toxicity
Saturday Apr 15, 2023
Saturday Apr 15, 2023
Toxicology fellow Dr. Nik Matsler teaches us about the pathophysiology of cyanide toxicity and it's various antidotes. Learn how to recognize, learn when to treat, and learn some historical trivia while we're at it.

Saturday Apr 01, 2023
The GCS Sucks! Why it’s a useless number and what we should use instead.
Saturday Apr 01, 2023
Saturday Apr 01, 2023
Dr. Whitney Barrett shares why the Glasgow Coma Score is a useless number and what we should use instead.

Wednesday Mar 22, 2023
Wednesday Mar 22, 2023
This is a Q&A follow up to last weeks episode on serotonin syndrome. This week paramedic Will Barry asks toxicology fellow Dr. Nik Matsler the questions that came up for him after listening to last weeks case. And at the end we kept in an impromptu conversation on end tidal CO2 in the pre-hospital setting. Enjoy.