EMS Cast: Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers

Ross Orpet, Paramedic turned EMS Physician
EMS Cast: Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers

High-quality EMS education for EMTs, paramedics, firefighters, and any first responders who take care of patients.

  1. DEC 6

    The Difference Between Equal and Equitable Care

    Explore the crucial distinction between providing equal care versus equitable care within emergency medical services (EMS). We give you an in-depth discussion with Ritu Sani from The EMS Show podcast, highlighting the importance of focusing on outcome-driven quality improvement projects and addressing disparities in care. Learn how different demographics face unique barriers to healthcare, and why recognizing these differences is essential to improving outcomes across various communities. Watch as real-life examples illustrate the need for equitable interventions and the systemic factors that contribute to inequities in EMS.   00:00 Introduction: Equal vs. Equitable Care 00:23 Case Study: CPR Training Disparities 01:09 Understanding Barriers to Equitable Care 03:31 Guest Introduction: Ritu Sani from EMS Show Podcast 04:33 Interactive Exercise: Demonstrating Inequity 06:36 Quality Improvement: Focusing on Outcomes 08:09 Challenges in Achieving Equitable Care 09:25 Diversifying EMS Workforce 10:11 Systemic Factors and Data-Driven Solutions 11:03 Starting with Equitable Care 11:17 Key Areas to Focus On 11:26 Analyzing Data for Disparities 12:12 Addressing Provider Reactions 13:00 Implementing Quality Improvement 13:35 Implicit Bias and Introspection 14:17 Patient Outcome Driven Approach 14:33 Challenges and Structural Abnormalities 15:16 Conclusion and Final Thoughts   Gear We Like Good Stethoscope - https://amzn.to/3YJJrf2 Good Shears - https://amzn.to/40FROuF or https://amzn.to/3ChZ4Tn  Notepad for taking notes on calls - https://amzn.to/3Z1X21J Sunglasses - https://frontline-optics.com/discount/EMSCAST15 Books we recommend -  The Dichotomy of Leadership - https://amzn.to/4fiCAjN Extreme Ownership - https://amzn.to/3O1FWfa  Managing the Unexpected: Sustained Performance in a Complex World -        https://amzn.to/3V7BwYf Thinking Fast and Slow - https://amzn.to/4fiJG85 A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back -  https://amzn.to/3YJJrf2 Guest/Cast/Crew information-Guest- Ritu Sani, MD and Co-host of The EMS Show podcastHost- Ross Orpet, Chris Pfingsten from EMS 20/20Catch up with us after the show Instagram- @emscast Twitter- @ems_cast Website- www.emspodcast.com

    16 min

  2. NOV 20

    Life Over Limb: Field Amputation, Preparing for the Unthinkable

    Dr. Avery McKenzie interviews Dr. Eric Adler, regional medical director for Flight for Life, about the challenging and rare procedure of field amputations. They discuss the importance of being prepared for the unexpected, the steps involved in developing a protocol for such emergencies, and the logistical challenges faced during the process. Dr. Adler shares insights from real-life cases and emphasizes the critical need for planning and knowing the resources available in urgent scenarios.   00:00 Emergency Field Amputation: A Real-Life Scenario 00:25 The Reality of Unlikely Medical Emergencies 02:04 Introducing Today's Episode and Guest 04:26 Dr. Eric Adler's Experience and Protocol Development 05:46 Indications and Procedures for Field Amputation 10:50 Challenges in Creating a Field Amputation Protocol 14:23 Final Thoughts and Preparedness   Resources Website show notes link (picture of the kit and copy of the protocol): https://emspodcast.com/life-over-limb-field-amputation-preparing-for-the-unthinkable/ Other episodes you might like: Episode 31- You Were Taught Wrong, Traumas Not Algorithmic Gear We Like Good Stethoscope - https://amzn.to/3YJJrf2 Good Shears - https://amzn.to/40FROuF or https://amzn.to/3ChZ4Tn  Notepad for taking notes on calls - https://amzn.to/3Z1X21J Sunglasses - https://frontline-optics.com/discount/EMSCAST15 Books we recommend -  The Dichotomy of Leadership - https://amzn.to/4fiCAjN Extreme Ownership - https://amzn.to/3O1FWfa  Managing the Unexpected: Sustained Performance in a Complex World -        https://amzn.to/3V7BwYf Thinking Fast and Slow - https://amzn.to/4fiJG85 A Thousand Naked Strangers: A Paramedic's Wild Ride to the Edge and Back -  https://amzn.to/3YJJrf2 Guest/Cast/Crew information-Guest- Erik AdlerHost- Ross Orpet, Avery MackenzieCatch up with us after the show Instagram- @emscast Website- www.emspodcast.com

    15 min

  3. NOV 4

    The Untold Impact of EMS on Organ Donation: Transforming Tragedy into Hope

    In this episode, we discuss the profound impact that one patient's organ donation can have on society. Even when not every patient gets to go home, the ability to donate organs can positively affect up to 80 people, multiplying our impact and service to the community. Guest Chris Meeks, a critical care flight paramedic and organ recovery coordinator discusses the ethical considerations and the surprising impact EMS has on the potential for organ donation, even in cases that appear to be 'lost causes'. Tune in to understand how your work in EMS may have more far-reaching positive effects than you realize.   00:00 Introduction: The Impact of EMS on Organ Donation 00:43 Ethical Considerations in Organ Donation 01:10 Current Research and EMS's Role 02:04 Guest Introduction: Chris Meeks 05:04 Ethical Dilemmas and Future Directions 08:25 Organ Donation Criteria and Processes 13:28 Conclusion: The Importance of EMS in Organ Donation   Guest/Cast/Crew information- Guest- Chris Meeks, Critical Care Flight Paramedic, Organ Recovery Coordinator Host- Ross Orpet, Will Berry  Catch up with us after the show Instagram- @emscast Twitter- @ems_cast Website- www.emspodcast.com

    17 min

  4. OCT 21

    Values-Driven Leadership Within A Just Culture- Chris Pfingsten from EMS 20/20

    Creating lasting behavioral changes in the workplace by moving beyond consequence-based policies. Chris discusses the importance of aligning personal and company values, highlighting 'just culture' in EMS and its role in understanding motivations and systemic issues. The conversation covers leadership in EMS, focusing on the significance of fostering supportive relationships with staff and avoiding fear-based management. Additionally, Chris shares his journey from paramedic to Field Training Officer, offering advice on effective training and mutual support. This episode is packed with valuable insights for anyone in the EMS field aiming to enhance performance, commitment, and team dynamics. Don't forget to check below for further resources on just culture and motivational learning.   Guest/Cast/Crew information- Guest- Chris Pfingsten, Co-host of EMS 20/20 Host- Ross Orpet, Will Berry    Resources Other episodes you might like Ep. 72 From Errors to Excellence with Geoff Murphy, Master Your Medics Books Just Culture- https://amzn.to/4eOMN7w Crucial Conversations- https://amzn.to/3BRBnRI  YouTube Videos-  Why do Errors Happen? How can we prevent them? How can a system get organized for improvement?    Catch up with us after the show Instagram- @emscast Twitter- @ems_cast Website- www.emspodcast.com

    18 min

  5. OCT 7

    Are They Choking? Esophageal Foreign Body

    We delve into the management of esophageal foreign body obstructions, a common yet often misunderstood medical emergency. We discuss the symptoms and causes of esophageal food impactions, sometimes referred to as 'Steakhouse Syndrome,' and differentiate it from tracheal obstructions. We explore the protocols, potential treatments, and if there's any rationale behind treatments such as glucagon administration. Join us as we also share real-life scenarios to better illustrate the challenges and solutions when dealing with such medical cases.   Resources and links This episode was inspired by an article on EMSAirway.com- Friday Night Lights- Shift 9 Steak Night  EMScast15 - code for 15% off an awesome pair of sunglasses  Help Us By Filling Out Our Audience Survey  Medic Box - awesome medical gear shipped directly to your door  Articles- American Society for Gastrointestinal Endoscopy- Guidelines for ingested foreign bodies   Glucagon for Relief of Acute Esophageal Foreign Bodies and Food Impactions: A Systematic Review and Meta-Analysis.   Efficacy of cola ingestion for oesophageal food bolus impaction: open label, multicentre, randomised controlled trial   Conservative management of oesophageal soft food bolus impaction   Esophageal Food Impaction: A Retrospective Chart Review Food Bolus Impaction- Question and Answer Review     Guest/Cast/Crew information- Host- Ross Orpet, Will Berry    Catch up with us after the show Instagram- @emscast Twitter- @ems_cast Website- www.emspodcast.com   00:00 Introduction to Esophageal Foreign Bodies 00:43 Audience Survey and Sunglasses Giveaway 01:46 Interview with Contest Winner 06:11 A Choking Incident at Mile High Stadium 09:02 Discussion on Esophageal Obstructions 11:46 Life-Saving Story at Denver International Airport 13:28 A Life-Saving Outcome 14:11 The Choking Incident at the Tavern 14:57 Assessing the Patient's Condition 19:38 Understanding Esophageal Food Impaction 21:49 Treatment Options and Challenges 29:01 The Role of Endoscopy 37:45 Managing Esophageal Impactions in the Field 39:32 Final Thoughts

    40 min

  6. SEP 23

    10 Lessons From A Real Austere Rescue That Apply To You, No Matter Where You Work

    Delve into a real-life rescue mission conducted by the U.S. Air Force Pararescue Jumpers (PJs) in the North Atlantic Ocean and learn ten crucial lessons for enhancing EMS practice. Dr. Michael Lauria shares these ten critical lessons from this challenging scenario that are essential for medical professionals working in any prehospital environment. From the importance of preparation and the power of a small team, to the significance of continuous learning and the dynamic nature of safety, these insights are invaluable for enhancing clinical practice. Tune in to learn how these lessons can be applied to improve how you approach the job.  EMScast15 - code for 15% off an awesome pair of sunglasses  Tell us about you and how we can make this show better  Medic Box - awesome medical gear shipped directly to your door  Guest/Cast/Crew information- Guest- Dr. Mike Lauria Host- Ross Orpet, Will Berry  Resources Other episodes you might like Third-party websites where you can learn more Podcast announcements Catch up with us after the show Instagram- @emscast Twitter- @ems_cast Website- www.emspodcast.com

    33 min

  7. SEP 16 · BONUS

    Bonus: A Better BVM? How I Built This EMS Cast Style- A Crazy Story About an Emergency Nurses Invention and Battle to Save Lives and Prevent Harm.

    In this special bonus episode of EMS Cast, we delve into the story of Bobby Sue McCollum, an emergency nurse turned inventor. Learn about the critical issue of over ventilation in emergency medicine, the innovative VT Select device designed to address this problem, and the crazy inspiring journey of its creation. With discussions on the challenges of finding the optimal ventilation rates and volumes, the episode balances medical data and personal narrative. Bobby Sue shares the highs and lows of her entrepreneurial path, from initial prototype development to eventual licensing, offering valuable insights for aspiring inventors in the medical field.   Resources Mentioned in the Show- VT Select Bag Valve Mask A Review of Ventilation in OHCA Pediatric BVM Delivers More Ideal Volumes in Mannequins Small BVMs Lead to Decreased Survival in a Small Real World Study  00:00 The Problem with Overventilation 00:53 Introduction to the VT Select Device 02:01 Meet the Inventor: Bobby Sue McCollum 05:06 The Journey of Invention 12:10 How the VT Select Works 14:04 Challenges and Triumphs 27:37 Advice for Aspiring Inventors 31:15 Conclusion and Final Thoughts

    32 min

  8. SEP 9

    The Critical Four Minutes: AMAX4 framework for Anaphylaxis

    Explore anaphylaxis care from the basics to the critical approach to managing severe anaphylaxis with Bruce Hoffman, FlightBridge ED senior educator. Find out what it means to be aggressive with anaphylaxis care explained through the AMAX4 framework.  Learn how the framework can help reverse anaphylactic shock and prevent catastrophic outcomes. Hear the impactful story behind the framework and gain insight into the most effective practices for treating unresponsive anaphylactic and asthmatic patients. Special thanks to the McKenzie family for their mission-driven educational work.  Resource links Episode Blog Post / Show Notes  AMAX4 website Anaphylaxis deep dive Updated Anaphylaxis Definition  EMScast15 - code for 15% off an awesome pair of sunglasses  Help us learn how to make this show better for you  Medic Box - awesome medical gear shipped directly to your door  Guest/Cast/Crew information- Guest- Bruce Hoffman- Goodwin University Program Director and Assistant Professor, FlightBridgeED senior educator, Bay State Health Critical Care RN and Paramedic Host- Ross Orpet, Will Berry  Catch up with us after the show Instagram- @emscast Twitter- @ems_cast Website- www.emspodcast.com

    30 min
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4.9
out of 5
41 Ratings

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High-quality EMS education for EMTs, paramedics, firefighters, and any first responders who take care of patients.

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