RideAlong: EMT School

Mike Fiore | Max Lizana | Jonathon Aldridge

RideAlong: EMT School follows Mike and Max, two friends diving into EMT training, alongside their co-host Jonathon, a working paramedic. Each week they share lessons, challenges, and stories from class while exploring the broader world of EMS through interviews, gear breakdowns, and survival tips for students. From the classroom to the ambulance, RideAlong offers an honest, entertaining look at the journey into emergency medicine. Go to www.RideAlong.Bulletn.net for links! Produced by Bulletn.net, a free resource for firearms, medical, and outdoor training communities.

  1. 6 DAYS AGO ·  BONUS

    EMS 20/20 Simulcast - Split the Party

    EMS 20/20 Simulcast - Split the Party This one’s different—and honestly, one of the most fun (and chaotic) things we’ve ever done. The RideAlong crew teamed up with EMS 20/20 for a special simulcast episode where EMS meets Dungeons & Dragons. Guided by Chris and Spencer, we were dropped into a high-stakes, dice-driven scenario that quickly spiraled into full-blown EMS chaos. What started as a straightforward cardiac arrest turned into a two-patient nightmare, tough decision-making, and the kind of curveballs you only get in real EMS—or a tabletop scenario run by EMS 20/20. This episode is a mix of education, improvisation, and a lot of laughs… but underneath it all is a real look at teamwork, scene management, and thinking under pressure when everything goes sideways. Huge thanks to EMS 20/20 for having us on—go give them a follow and check out their show. -------------------------------------- Episode Breakdown 00:00 – RideAlong intro + setup for the collab 00:00:32 – Episode concept: EMS scenario meets D&D-style gameplay 00:08:04 – EMS 20/20 intro + scenario rules explained 00:14:14 – Dispatch: 70 y/o male, AMS, difficulty breathing 00:17:40 – Update: CPR instructions in progress 00:22:02 – Arrival on scene + access problem (locked house) 00:30:50 – Patient contact: CPR in progress, chaotic scene 00:37:24 – Additional responders arrive (team expands) 00:44:04 – Second patient identified (spouse deteriorating) 00:56:00 – Cardiac arrest management continues (ALS pending) 01:07:24 – ALS arrives, dual-patient management begins 01:18:21 – STEMI identified → flight activated 01:35:44 – Air medical arrival + patient transfer 01:42:07 – Cardiac arrest declines to asystole 01:46:09 – Decision point: termination of resuscitation 01:52:11 – Scenario breakdown + lessons learned 02:11:48 – Key takeaway: BLS can (and should) activate flight when needed -------------------------------------- ⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols. -------------------------------------- 🚑 RideAlong: EMT School Links https://www.RideAlongEMTSchool.com

    2h 19m
  2. 20 APR

    I Never Meant To Be So Cold (Environmental – Hot and Cold Emergencies)

    Environmental emergencies can sneak up fast, and once the body starts losing its ability to regulate temperature, things can go downhill in a hurry. In this episode, we break down hot and cold emergencies, focusing on how the body responds to temperature extremes, what warning signs EMTs should watch for, and when simple exposure becomes a true medical emergency. Mike, Max, and Jonathan walk through active versus passive warming and cooling, the physiology behind hypothermia and hyperthermia, and how heat loss, dehydration, exposure, and poor decision-making can all stack together in the field. From frostbite and local cold injuries to heat exhaustion and heat stroke, this episode is all about recognizing problems early and treating temperature emergencies before they spiral. -------------------------------------- Subscribe to the EMS20/20 Podcast! Get notified when our episode goes live. https://ems2020.com/ -------------------------------------- Episode Breakdown 00:00:00 – Intro, episode setup, and EMS 20/20 guest appearance discussion 00:11:26 – Medical Term of the Week: Active and Passive Rewarming and Cooling 00:26:13 – Body temperature regulation and homeostasis overview 00:42:00 – Hypothermia: causes, stages, and treatment priorities 01:20:05 – Local cold injuries, frostbite, and field care 01:32:09 – Heat emergencies: heat exhaustion and heat stroke 01:51:20 – Tools of the Trade: Mylar Blankets 02:01:30 – Student Tip of the Week: Test Prep with Jonathan 02:13:29 – Wrap-up and closing thoughts -------------------------------------- ⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols. -------------------------------------- 🚑 RideAlong: EMT School Links https://www.RideAlongEMTSchool.com

    2h 16m
  3. 13 APR

    Multi-System of a Down (Multisystem Trauma)

    Multisystem trauma patients present one of the biggest challenges in prehospital care — multiple injuries, competing priorities, and the constant risk of rapid deterioration. In this episode, we break down how EMTs identify high-risk trauma patients using mechanism of injury, physiologic findings, anatomic criteria, and special patient considerations, along with how trauma scoring and transport decisions fit into the bigger picture. Mike, Max, and Jonathan walk through how trauma systems actually work in the field, why older adults and pediatric patients can complicate assessment, and how providers have to balance rapid intervention with getting the patient to the right destination. When everything is happening at once, structure matters. -------------------------------------- Episode Breakdown 00:00:00 – Intro, catching up, and distracted driving discussion 00:20:47 – Medical Term of the Week: Trauma Score 00:35:07 – What multisystem trauma is and why it matters 00:43:15 – Physiologic criteria for severe trauma 00:45:45 – Anatomic criteria and major injury patterns 00:51:06 – Mechanism of injury and predicting hidden trauma 00:57:34 – Special patient populations and considerations 01:05:49 – Managing the multisystem trauma patient 01:42:31 – Tools of the Trade: Oxygen Tanks and Regulators 02:04:25 – Student Tip of the Week: Test Prep with Jonathan 02:18:04 – Wrap-up and closing thoughts -------------------------------------- ⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols. -------------------------------------- 🚑 RideAlong: EMT School Links www.ridealong.bulletn.net

    2h 20m
  4. 6 APR

    Flail to the King (Chest and Abdominal Trauma)

    Chest and abdominal trauma can rapidly become life-threatening, even when injuries aren’t immediately obvious. In this episode, we break down blunt and penetrating trauma affecting the thoracic and abdominal cavities, focusing on injuries that can compromise breathing, circulation, and major organ function. We discuss pneumothorax, hemothorax, flail chest, internal bleeding, and solid organ injuries, along with how mechanisms of injury help guide suspicion for hidden complications. Understanding how the lungs, heart, diaphragm, liver, spleen, and major blood vessels can be affected allows EMTs to recognize critical findings early and prioritize rapid transport. Trauma assessment is about pattern recognition, reassessment, and knowing when something doesn’t look right — even if vital signs haven’t changed yet. -------------------------------------- Visit our sponsor, SAM Medical! https://www.SAMMedical.com -------------------------------------- Episode Breakdown 00:00:00 – Intro / episode setup 00:07:01 – Sponsor Message: SAM Medical 00:19:03 – Overview of chest trauma and respiratory compromise 00:27:15 – Medical Term of the Week: Flail Chest 00:29:29 – Anatomy and physiology of breathing and chest cavity 00:50:16 – Mechanisms of injury: blunt vs penetrating trauma 00:58:16 – Pain, breathing complications, and patient positioning 01:43:03 – Tools of the Trade: Chest Seals / Occlusive Dressings (SAM Chest Seal) 01:57:30 – Student Tip and Test Prep 02:00:00 – Episode wrap-up -------------------------------------- ⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols. -------------------------------------- 🚑 RideAlong: EMT School Links www.ridealong.bulletn.net

    2h 10m
  5. 30 MAR

    This is Spinal Snap (Neck and Spinal Trauma)

    This is Spinal Snap (Neck and Spinal Trauma) Neck and spinal injuries can be subtle, devastating, and easy to miss — making them one of the highest-stakes assessments an EMT will perform. In this episode, we break down spinal anatomy, mechanisms of injury, red flags for spinal cord involvement, and when spinal motion restriction is appropriate. We also discuss how spinal cord injuries can affect breathing, circulation, sensation, and long-term function, plus how neurogenic shock changes the way the body responds to trauma. Understanding how and why spinal injuries occur helps you make better decisions in the field and avoid causing additional harm during assessment, movement, and transport. -------------------------------------- Episode Breakdown 00:00:00 – Intro / episode setup 00:21:05 – Lead-in to spinal motion restriction discussion 00:21:49 – Medical Term of the Week: Neurogenic Shock 00:32:37 – Anatomy of the spine (cervical, thoracic, lumbar, sacrum) 00:37:24 – Vulnerability of the neck and mechanism of injury concepts 01:11:13 – BLS assessment considerations and spinal motion restriction decision-making 01:52:28 – Student Tip and Test Prep 01:53:41 – Episode wrap-up -------------------------------------- ⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols. -------------------------------------- 🚑 RideAlong: EMT School Links www.ridealong.bulletn.net

    1hr 56min
  6. 23 MAR

    The Headbangers Ball (Head and Skull Trauma)

    Head injuries can change everything in an instant. In this episode, we break down head and skull trauma, including traumatic brain injuries, skull fractures, and why bleeding or swelling inside the skull can quickly become life-threatening. Mike, Max, and Jonathon discuss mechanisms of injury, signs of increased intracranial pressure, and the importance of identifying subtle neurological changes early. From coup-contrecoup injuries to recognizing deteriorating mental status, this episode emphasizes assessment priorities that help prevent secondary brain injury. -------------------------------------- Episode Breakdown 00:00 – Intro, episode setup, and overview of head trauma 28:35 – Medical Term of the Week: Cushing’s Triad 37:20 – Anatomy review: skull, brain, and protective structures 55:10 – Mechanisms of injury and traumatic brain injury concepts 01:18:40 – Skull fractures, bleeding, and intracranial pressure 01:43:55 – Patient assessment priorities and reassessment 01:56:20 – Tools of the Trade: Penlight for pupil assessment 02:06:30 – Student Tip of the Week: Test Prep Questions -------------------------------------- ⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols. -------------------------------------- 🚑 RideAlong: EMT School Links www.ridealong.bulletn.net

    2h 29m
  7. 18 MAR

    Bob Waddell – SAM Medical (RideAlong Interview)

    Great tools don’t just show up in EMS — they’re built by people who understand the problems providers face in the field. In this episode, we sit down with Bob Waddell from SAM Medical to talk about the evolution of hemorrhage control, product design, and what it takes to create equipment that actually works when it matters most. We dive into the story behind SAM Medical, the development of tools like the SAM XT tourniquet and SAM splint, and how real-world feedback from EMS, military, and law enforcement continues to shape innovation. This conversation is all about bridging the gap between the classroom, the street, and the gear we trust to save lives. -------------------------------------- Check out SAM Medical https://www.SAMmedical.com Reach out to Bob! bob.waddell@sammedical.com -------------------------------------- Episode Breakdown 00:00 – Intro and guest introduction 08:45 – Bob Waddell’s background and path into SAM Medical 22:10 – The evolution of hemorrhage control and tourniquet design 41:30 – SAM Medical products: SAM XT, SAM Splint, and innovation process 01:05:20 – Real-world application and lessons from the field 01:24:10 – Advice for new EMS providers and students 01:36:40 – Closing thoughts and where to learn more -------------------------------------- ⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols. -------------------------------------- 🚑 RideAlong: EMT School Links www.ridealong.bulletn.net

    1hr 34min
  8. 16 MAR

    Boulevard of Broken Bones (Musculoskeletal Trauma)

    Bones break. Joints dislocate. Ligaments stretch and tear. In this episode, Mike, Max, and Jonathan dive into musculoskeletal trauma, one of the most common injury categories EMS providers encounter. The crew breaks down the anatomy of the musculoskeletal system, the difference between fractures, sprains, strains, and dislocations, and how EMTs assess and stabilize extremity injuries in the field. Along the way, they explore compartment syndrome, the six P’s of extremity injury, traction splints, pelvic stabilization, and the real-world priorities of splinting without delaying lifesaving care. This episode also features a Tools of the Trade segment sponsored by SAM Medical, where the team looks at one of the most recognizable pieces of equipment in EMS: the SAM Splint — a simple but incredibly versatile tool used to immobilize fractures and stabilize injured limbs in the field. -------------------------------------- Visit our sponsor, SAM Medical! https://www.SAMMedical.com -------------------------------------- Episode Breakdown 00:00 — Episode intro 01:44 — Sponsor spotlight: SAM Medical 07:43 — Catch-up and EMS stories from the field 28:05 — Medical Term of the Week: The Six P’s 30:09 — Compartment syndrome 50:08 — Chapter discussion: Musculoskeletal Trauma 01:25:12 — Assessment priorities, life threats, and splinting principles 01:45:26 — Pelvic injuries and pelvic binders 01:50:10 — Femur fractures and traction splints 02:05:02 — Tools of the Trade: The SAM Splint 02:15:22 — Student Tip of the Week: NREMT practice questions 02:34:23 — Episode wrap-up -------------------------------------- ⚠️ Disclaimer: This podcast is for educational and storytelling purposes only. It is not medical advice or official EMT training. Always follow your accredited instructors and local protocols. -------------------------------------- 🚑 RideAlong: EMT School Links www.ridealong.bulletn.net

    2h 36m

About

RideAlong: EMT School follows Mike and Max, two friends diving into EMT training, alongside their co-host Jonathon, a working paramedic. Each week they share lessons, challenges, and stories from class while exploring the broader world of EMS through interviews, gear breakdowns, and survival tips for students. From the classroom to the ambulance, RideAlong offers an honest, entertaining look at the journey into emergency medicine. Go to www.RideAlong.Bulletn.net for links! Produced by Bulletn.net, a free resource for firearms, medical, and outdoor training communities.

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