

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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

Wednesday Aug 31, 2022
Wednesday Aug 31, 2022
Join us for part four of our four part series looking at the physiologically difficult airway. Matt takes us through the approach to RV failure why these patients are so dangerous to intubate.

Wednesday Aug 17, 2022
Snake Bites
Wednesday Aug 17, 2022
Wednesday Aug 17, 2022
Summer's not over yet which means the snakes they are a still slithering. Come learn everything you need to know about treating North American snake bites in the field and dispel some myths along the way.

Tuesday May 31, 2022
Tuesday May 31, 2022
Dr. Lesley Pepin joins us to talk about the nuances of cocaine overdose and it's various managements. There's more than you think. And the more you know could make a difference and save a life.

Sunday May 01, 2022
The Physiologically Difficulty Airway - Part 3: Severe Metabolic Acidosis
Sunday May 01, 2022
Sunday May 01, 2022
Join us for part three of our four part series looking at the physiologically difficult airway. Matt takes us through the approach to severe metabolic acidosis and why these patients are so dangerous to intubate.

Thursday Mar 31, 2022
The Physiologically Difficulty Airway - Part 2: Hypotension
Thursday Mar 31, 2022
Thursday Mar 31, 2022
Join us for part two of our four part series looking at the physiologically difficult airway. Matt takes us through the different causes of hypotension, why these patients are so dangerous to intubate, and how to resuscitate before you intubate.
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Monday Feb 28, 2022
Narrow Pulse Pressure as a Predictor of ED Thoracotomy in Trauma?
Monday Feb 28, 2022
Monday Feb 28, 2022
We discuss the following paper and its impact on our prehospital management.
Prehospital narrow pulse pressure predicts need for resuscitative thoracotomy and emergent intervention after trauma Schellenberg M, Owattanapanich N, Getrajdman J, et al. J Surg Res. 2021;268:284-290.

Monday Jan 31, 2022
The Physiologically Difficult Airway - Part 1: Hypoxia
Monday Jan 31, 2022
Monday Jan 31, 2022
Ross and Matt discuss the importance of preoxygenating hypoxic patients prior to intubating them. This is the first of a 4 part series on the physiologically difficult airways. Link to the makeshift CPAP:
https://www.youtube.com/watch?v=yHGMIQBak6A

Friday Dec 31, 2021
Does your radio work? In the middle of an MCI is too late to find out.
Friday Dec 31, 2021
Friday Dec 31, 2021
Will Berry and Ben Fisher join the show again to teach us about the handheld device on your hip. Do you really know how to use your radio? What do you do if it fails? It's important to talk and think about these things before they happen.

Tuesday Nov 02, 2021
Don't Miss Carbon Monoxide Poisoning
Tuesday Nov 02, 2021
Tuesday Nov 02, 2021
Paramedic Will Berry sits down with toxicologist John Rague to talk about all things carbon monoxide including why snorkels aren't helpful.

Thursday Sep 30, 2021
Your Run Report Matters More Than You Think
Thursday Sep 30, 2021
Thursday Sep 30, 2021
Ben Fisher, paramedic and NEMSIS guru, joins us to talk about what NEMSIS is and it's importance to the career field.