The World’s Okayest Medic Podcast

Mike Carunchio
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  • Medicine
  • Fortnightly

The World’s Okayest Medic Podcast is a podcast for all EMS providers. Whether you’re an EMT, paramedic, nurse; work in a 911 response setting or critical care transport; and are a novice or experienced clinician, this podcast is for you.

  1. 7 hr ago

    Friday Coffee Talk (10/31/26)

    LISTENER DISCRETION IS ADVISED!!! References: Akhtar, M., Shenasa, M., Jazayeri, M., Caceres, J., & Tchou, P. J. (1988). Wide QRS complex tachycardia: Reappraisal of a common clinical problem. Annals of Internal Medicine, 109(11), 905–912. Baerman, J. M., Morady, F., DiCarlo, L. A., Jr., & de Buitleir, M. (1987). Differentiation of ventricular tachycardia from supraventricular tachycardia with aberration: Value of the clinical history. Annals of Emergency Medicine, 16(1), 40–43. Brugada, J., et al. (2020). 2019 ESC Guidelines for the management of patients with supraventricular tachycardia. European Heart Journal, 41(5), 655–720. Dancy, M., Camm, A. J., & Ward, D. (1985). Misdiagnosis of chronic recurrent ventricular tachycardia. The Lancet, 2(8450), 320–323. Ohlow, M. A., Beierlein, A., Müller, S., von Korn, H., Geller, J. C., Yu, J., & Lauer, B. (2005). Stabile Tachykardie mit breitem QRS-Komplex in der prähospitalen Notfallmedizin [Stable tachycardia with wide QRS complex in pre-hospital emergency medicine]. Deutsche Medizinische Wochenschrift, 130(47), 2694–2698. Steinman, R. T., Herrera, C., Schuger, C. D., & Lehmann, M. H. (1989). Wide QRS tachycardia in the conscious adult: Ventricular tachycardia is the most frequent cause. JAMA, 261(7), 1013–1016. Stewart, R. B., Bardy, G. H., & Greene, H. L. (1986). Wide complex tachycardia: Misdiagnosis and outcome after emergent therapy. Annals of Internal Medicine, 104(6), 766–771. Tchou, P., Young, P., Mahmud, R., Denker, S., Jazayeri, M., & Akhtar, M. (1988). Useful clinical criteria for the diagnosis of ventricular tachycardia. American Journal of Medicine, 84(1), 53–56.

  2. 23 Oct

    Scott Kier: The Lift Assist Debacle

    Listener discretion is advised. Reference: Leggatt L, Van Aarsen K, Columbus M, Dukelow A, Lewell M, Davis M, McLeod S. Morbidity and Mortality Associated with Prehospital "Lift-assist" Calls. Prehosp Emerg Care. 2017 Sep-Oct;21(5):556-562.

  3. 16 Oct

    Friday Coffee Talk (10/16/26)

    LISTENER DISCRETION IS ADVISED!!! References: Almallouhi, E., Al Kasab, S., Nahhas, M., Harvey, J. B., Caudill, J., Turner, N., & Holmstedt, C. A. (2020). Outcomes of interfacility helicopter transportation in acute stroke care. Neurology: Clinical Practice, 10(5), 422–427. Bartos, J. A., Clare Agdamag, A., Kalra, R., et al. (2023). Supraglottic airway devices are associated with asphyxial physiology after prolonged CPR in patients with refractory Out-of-Hospital cardiac arrest presenting for extracorporeal cardiopulmonary resuscitation. Resuscitation, 186, 109769. Kashyap, R., Anderson, P. W., Vakil, A., Russi, C. S., & Cartin-Ceba, R. (2016). A retrospective comparison of helicopter transport versus ground transport in patients with severe sepsis and septic shock. International Journal of Emergency Medicine, 9. Stewart, K., Garwe, T., Oluborode, B., Sarwar, Z., & Albrecht, R. M. (2020). Association of Interfacility Helicopter versus Ground Ambulance Transport and in-Hospital Mortality among Trauma Patients. Prehospital Emergency Care, 25, 620–628. Wang, H. E., Jaureguibeitia, X., Aramendi, E., et al. (2022). Airway strategy and ventilation rates in the pragmatic airway resuscitation trial. Resuscitation, 176, 80–87.

  4. 13 Oct

    Case Study: Neonatal Blood Administration after Delivery with Abruption

    Listener discretion is advised. Sincere thanks to the Buda FD and Austin-Travis StarFlight for the permission for their staff to come onto the podcast and discuss this case.

  5. 9 Oct

    Friday Coffee Talk (10/9/26)

    LISTENER DISCRETION IS ADVISED!!! References: Galvagno SM Jr, Haut ER, Zafar SN, et al. Association between helicopter vs ground emergency medical services and survival for adults with major trauma. JAMA. 2012;307(15):1602-1610. Jarvis JL, Jarvis SE, Kennel J. The association between out-of-hospital drug-assisted airway management approach and intubation first-pass success. Ann Emerg Med. 2025;86(5) Kashyap R, Anderson PW, Vakil A, Russi CS, Cartin-Ceba R. A retrospective comparison of helicopter transport versus ground transport in patients with severe sepsis and septic shock. International Journal of Emergency Medicine. 2016;9:15. Orso, D., Flaibani, L., Sisto, U. G., Bonsano, M., Fonda, F., Pangallo, R., & Bove, T. (2025). Survival and cost-effectiveness of helicopter versus ground emergency medical services: A systematic review and meta-analysis with meta-regression and trial sequential analysis. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 33, Article 160. Sanchez, G., Gupta, S., & Johnson, M. E. (2024). Analysis of helicopter air ambulance accidents in the United States from 2010 to 2021. Air Medical Journal, 43(6), 499–507. Shekhar AC, Blumen IJ. Fatal air medical accidents in the United States (2000–2020). Prehosp Disaster Med. 2023;38(2):264-269. doi:10.1017/S1049023X23000274. Eighty-seven fatal accidents, 239 deaths; 72.4% of deaths on helicopters. NTSB probable-cause reviews.

  6. 28 Sept

    Prehospital Sepsis with Haney Mallemat & Nick Ghionni

    Listener discretion is advised.

  7. 25 Sept

    Rapid Fire Listener Questions - Part Two

    LISTENER DISCRETION IS ADVISED!!!

  8. 21 Sept

    Amyl Nitrate Overdose Case Study with Justin Rodriguez RN

    Listener discretion is advised!!!

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About

The World’s Okayest Medic Podcast is a podcast for all EMS providers. Whether you’re an EMT, paramedic, nurse; work in a 911 response setting or critical care transport; and are a novice or experienced clinician, this podcast is for you.

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