Prehospital Paradigm Podcast

University Hospitals of Cleveland

4.9 (13)
NATURAL SCIENCES
UPDATED WEEKLY

This is a weekly podcast with our group talking about local, regional and national EMS issues. Physicians, nurses, advanced and basic EMS providers will gain professional knowledge from this podcast.

2D AGO

Expanding Prehospital Addiction Care – Part 3

As the crew starts to wind up this topic, the discussion of the process of opioid withdrawal continues including inducing a more intense, or higher, level of withdrawal to help the patient's recovery progression. The guys discuss the Clinical Opiate Withdrawal Scale (COWS) score, its use and the interpretation of. KEEPER NOTE: What words should we NOT be using to define these patients with "opiate disease disorder."

18 min
FEB 9

Expanding Prehospital Addiction Care – Part 2

Dr. Singer continues to talk to the PPP crew regarding Project DAWN (Deaths Avoided With Naloxone), an Ohio-based network of opioid overdose education and naloxone distribution programs (OENDP) coordinated by the Ohio Department of Health. Should EMS squads add Buprenorphine to the drug box in the long term? KEEPER NOTE: The Narcan administration is just the beginning of the patient's opportunity to enter a recovery process.

20 min
FEB 2

Expanding Prehospital Addiction Care – Part 1

A.J. and Dr. Hill join Scott this month, to chat with Dr. Jordan Singer from the UH EMS Institute. What is long-term addiction care? It's more than just showing up, treating the patient's symptoms, i.e., Narcan, and ending the patient's care once they are resuscitated. The crew digs into the norms and what the future might be including, leaving Narcan behind with family members or the patients. KEEPER NOTE: If a 20-year-old overdoses once, there is a 1 in 10-20 chance that they will be dead in 1 year.

16 min
JAN 19

New Ohio Expanded Scope of Practice Reviewed - Part 3

As the team winds up its discussion of the new Ohio EMS advanced scope of practice regulations, the discussion of oral Zofran for younger patients, ultrasound use for IV assistance and the place of urinary catheters within the scop of a 911 type of call are part of the discussion.

25 min
JAN 12

New Ohio Expanded Scope of Practice Reviewed - Part 2

The team starts to discuss specifics of the expanded scope of practice. First up, the epinephrine auto-injector initiated by EMTs. EMTs are now able to give epinephrine via I.M. and broncho-dilators. Reconstituting Glucagon and administering it via IM is also part of the new EMT expanded scope of practice. Needle chest decompression and blood product administrations for advanced providers are also discussed.

28 min
JAN 5

Ohio New EMS Scope of Practice Reviewed - Part 1

Ray Pace has taken a back seat to the pod so that he can focus on his fire chief duties. Welcome back to A.J. Joseph as one of our rotating co-hosts for 2026. The State Board of Emergency Medical, Fire, and Transportation Services (EMFTS Board) expanded the Ohio EMS Scope of Practice on December 17, 2025. First thing the gang discusses is what is and is not the scope of practice. How do we define it? What can Medical Directors write into protocols? Key point to take away... just because something is in the expanded scope of practice doesn't mean that you can execute that skill without medical control and training.

28 min
12/29/2025

Cardiocast – 4 (Extra Monday Pod)

The crew welcomes back Dr. Greg Stefano and Geoff Patty, RN from the interventional cardiology department. If you're listening to this episode, head over to our YouTube channel to see the visuals of actual cases. An interesting discussion ensues about human and computer interpretations of various EKG strips.

1h 16m
12/15/2025

Intro to the National Collegiate EMS Foundation - Part 3

As the panel discussion continues, the discussion of medical direction arises as well as how to handle the potential rotating staff and continuity of responder training including incident command training. If interested in starting or growing your campus-based EMS system, feel free to get in touch with the National Collegiate EMS Foundation.

36 min

See All (153)

4.9

out of 5

13 Ratings

Belted vs unbelted

12/19/2023

gd7947

What you said about Worker’s Compensation and not being seat belted is not correct. Former governor Bob Taft passed the law that said if you are not seat belted and you are not performing life safety operations in the back of an ambulance and get into an accident, then you are not covered by workers compensation. Also, I personally don’t like starting I.V.’s while driving. Even if I have everything right next to me, I believe it’s still dangerous. I don’t want to accidentally stick myself. We have to do what’s best for the patient AND take care of us too. And how good of a VAN am I going to do driving down the road? The bottom line is either you want to take the extra time for IV’s, 12 lead, VAN, etc or get them to definitive care as soon as possible. Everything takes time, and to minimize it by doing these work arounds doesn’t do justice to the fact that this is serious stuff and needs to be done with competency. A doctor may be able to perform a VAN while walking down the hall, that’s different than in the back of a moving vehicle with lights and sirens blaring. I think the protocols should be written to prioritize safety OR speed, because one will suffer when you try to do both.
Microphones

07/14/2025

Gosaterfftg

Can you please turn Dr Hill’s microphone up? I miss half of his valuable knowledge because I can’t hear him.

This is a weekly podcast with our group talking about local, regional and national EMS issues. Physicians, nurses, advanced and basic EMS providers will gain professional knowledge from this podcast.

Creator

University Hospitals of Cleveland
Years Active

2023 - 2026
Episodes

153
Rating

Clean
Show Website

Prehospital Paradigm Podcast

Prehospital Paradigm Podcast

Expanding Prehospital Addiction Care – Part 3

Expanding Prehospital Addiction Care – Part 2

Expanding Prehospital Addiction Care – Part 1

New Ohio Expanded Scope of Practice Reviewed - Part 3

New Ohio Expanded Scope of Practice Reviewed - Part 2

Ohio New EMS Scope of Practice Reviewed - Part 1

Cardiocast – 4 (Extra Monday Pod)

Intro to the National Collegiate EMS Foundation - Part 3

Belted vs unbelted

Microphones

About

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Prehospital Paradigm Podcast

Episodes

Expanding Prehospital Addiction Care – Part 3

Expanding Prehospital Addiction Care – Part 2

Expanding Prehospital Addiction Care – Part 1

New Ohio Expanded Scope of Practice Reviewed - Part 3

New Ohio Expanded Scope of Practice Reviewed - Part 2

Ohio New EMS Scope of Practice Reviewed - Part 1

Cardiocast – 4 (Extra Monday Pod)

Intro to the National Collegiate EMS Foundation - Part 3

Ratings & Reviews

About

Information