Loud & Clear: EMS Guiding Principles - Advanced Continuing Education for Paramedics, EMTs & Prehospital Care Providers

Ross Orpet, Paramedic turned EMS Physician
  • 4.9 (43)
  • Education
  • Updated Biweekly

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. Loud & Clear: EMS Guiding Principles is an EMS Cast LLC production

  1. 1d ago

    What the Evidence Really Says About Cervical Collars with Dr. Jeff Jarvis and Dr. Ben Abo

    The hardest part of evidence-based medicine is not finding a paper. It is deciding whether that paper should change what you do on your next shift. First, we talk with Dr. Jeff Jarvis about how to evaluate medical literature beyond the headline, abstract, conclusion, or p-value. You’ll hear about the PICO framework and why patient-oriented outcomes should matter more than the numbers that are easiest to measure. Then, Ross talks with emergency physician Dr. Ben Abo about the evidence surrounding rigid cervical collars. He also shares how his EMS system removed collars from its ambulances by involving trauma surgeons, neurosurgeons, emergency clinicians, and frontline providers in the change. In this episode, you’ll learn: How to use population, intervention or exposure, comparison, and outcome to decide whether a study applies to the patients you actually treat Why return of spontaneous circulation, p-values, and national benchmarks can distract clinicians from the outcomes patients care about most What the literature suggests about cervical collars, spinal cord perfusion, airway compromise, aspiration risk, intracranial pressure, and pressure injuries How to bring research to a medical director and change a long-standing protocol    Resources: NAEMSP Trauma Compendium: Prehospital Management of Spinal Cord Injuries Want more? Sign up for our weekly newsletter, The Confidence Dispatch. Want individualized coaching and mentorship? Check out The Loud & Clear Fellowship. Just have a question and want some personalized help? Book a free coaching call with us. Interested in ABLS Now? Our listeners get 10% off and a chance to win a free subscription. Enter before August 1, 2026.   Guests: Dr. Jeff Jarvis, MD, MS, EMT-P Dr. Ben Abo, DO, EMT-P Guest Host: Matt Hedlun, Battalion Chief of Education at Thompson Valley EMS

  2. Jul 13

    The Three Building Blocks of Trust in EMS

    Trust is the architecture behind every patient interaction you run. Dr. Cory Scheer, author of Closing the Trust Gap, has identified three evidence-based building blocks of trust: competency, problem-solving, and care for others. It turns out EMS providers already use all three the moment they step on scene. In this episode, we unpack the gap between senior leaders and frontline EMS workers, what your "trust signature" reveals about how you naturally lead, and why imposter syndrome might be a signal worth listening to instead of pushing through. Book a Free Coaching Call · Sign up for the weekly newsletter ·  Check out The Loud & Clear Fellowship program.

  3. Jun 29

    The Skill Is Not The Hard Part

    The hardest part of a bad call is rarely the algorithm. In two different interviews I explore some human traps of running an EMS call. I talk with Danny and Rance from DNR Prehospital Education about a choking arrest, a difficult field intubation, and the trainer-trainee dynamic that made the call more complicated than the procedure itself. Then Bobby breaks down the CAFE pneumonic of heuristic traps: commitment, acceptance, familiarity, and expert halo. This episode moves from the protocol and algorithm to the human challenges of running. Want more? Sign up for our weekly newsletter The Confidence Dispatch Want individualized coaching and mentorship? Check out The Loud & Clear Fellowship Just have a question and want some personalized help? Book a free coaching call with us. Interested in ABLS Now? Our listeners get 10% off and a chance to win a free subscription (giveaway on July 1st, 2026).

  4. Jun 15

    Treat Mom First: Amniotic Fluid Embolus and Other Peri-partum Emergencies

    A postpartum patient does not need to look dramatic to be in real danger. In this episode from FAST 26, Ross talks with Amy Loucks about pregnancy-related deaths, maternal care deserts, postpartum warning signs, hypertension, cardiomyopathy, infection, and the calls EMS can easily miss. Then Elizabeth Garchar walks through amniotic fluid embolism, now often framed as an anaphylactoid reaction of pregnancy: sudden cardiovascular collapse, right heart failure, DIC, TXA, whole blood, AOK, and the principle that matters most when everything goes bad: treat mom first.   Interested in the Loud & Clear Fellowship? Sign up for a free coaching call to learn more.    Sign up for a weekly newsletter The Confidence Dispatch for EMS performance tips delivered straight to your inbox.    Episode Resources- CDC: Preventing pregnancy-related deaths — https://www.cdc.gov/maternal-mortality/preventing-pregnancy-related-deaths/index.html Amniotic fluid embolism overview — https://my.clevelandclinic.org/health/diseases/15463-amniotic-fluid-embolism AOK regimen for amniotic fluid embolism — https://pmc.ncbi.nlm.nih.gov/articles/PMC9477128/   https://www.marchofdimes.org/peristats/ https://www.marchofdimes.org/research/maternity-care-deserts-report.aspx  https://saferbirth.org/  https://www.nmperinatalcollaborative.com/

  5. Jun 7

    Pressure Matters: Oxygenation vs. Ventilation in Pre-Oxygenation with Scott Weingart

    Pre-Oxygenation is not just putting oxygen on the patient and hoping the sat buys you enough time. In this episode, Ross talks with Scott Weingart after his FAST26 talk on preventing peri-intubation arrest. They get into why many peri-intubation arrests are predictable and preventable, why shunt physiology requires pressure and not just FiO2, and how EMS clinicians can build a field-ready setup with a nasal cannula, BVM mask, PEEP valve, and continuous pressure. Scott also walks through low-, moderate-, and high-risk patients, why high-risk oxygenation patients may not be good RSI candidates, and what changes for asthma, aspiration risk, and morbid obesity. Book a FREE Coaching Call with Us Here Learn More About the Loud & Clear Fellowship American Burn Association ABLS Now giveaway and 10% listener discount PREOXI trial: Noninvasive Ventilation for Preoxygenation during Emergency Intubation PreVent trial: Bag-Mask Ventilation during Tracheal Intubation of Critically Ill Adults EMS World Live + FAST 26 conference coverage Guest: Scott Weingart / EMCrit — https://emcrit.org/

  6. May 31

    Your Checklist Is Making You Worse: Why Pilots Use Checklists and Paramedics Don't

    A checklist should reduce cognitive load. So why does yours make things worse? Airline pilot and safety officer Glenn Fisher breaks down how aviation refined checklists over decades of crash data and human factors research — from verification-only flows to abnormal read-and-do procedures to defining the criteria for what should actually earn a spot on the card. Want more? Book a Free Coaching Call at emspodcast.com/free-coaching-call Sign up for the weekly newsletter at empodcast.com/newsletter NASA papers on checklist design- Human Factors of Flight-Deck Checklists: The Normal Checklist COCKPIT CHECKLISTS: CONCEPTS, DESIGN, AND USE Design Guidance for Emergency and Abnormal Checklists in Aviation   American Burn Association / ABLS: Enter the ABLS giveaway by June 30, 2026; the winner will be selected July 1, 2026. Loud & Clear listeners also get 10% off ABLS Now through August 31, 2026. Details: https://bit.ly/aba-loud-clear

  7. May 21

    Pediatric Sepsis with Dr. Peter Antevy

    Pediatric sepsis is easy to miss because the first hour often looks ordinary. Kids compensate, until they don't. In this episode, Will Berry talks with Dr. Peter Antevy about the case that still bothers him and why fluids, vasopressors, antibiotics, and hospital feedback all have to be treated as one resuscitation system. Book a Free Coaching Call with us at emspodcast.com/free-coaching-call Sign up for our weekly newsletter The Confidence Dispatch at emspodcast.com/newsletter  American Burn Association / ABLS: Enter the ABLS giveaway by June 30, 2026; the winner will be selected July 1, 2026. Loud & Clear listeners also get 10% off ABLS Now through August 31, 2026. Details: https://bit.ly/aba-loud-clear

  8. May 14

    How to Build Procedural Skills - That Actually Stick

    Most EMS skills training creates an illusion of competence. You drill a procedure, check a box, and move on. But what does the research actually show about competency and retention? Dr. Jason Hine (EM physician, SimKit founder) breaks down the actual science of procedural skill acquisition: S-curves, encoding and consolidation, retrieval practice, and why expensive simulation labs often underperform cheap, high-rep lo-fi tools. Plus: a big announcement about SimKit and The Loud & Clear Fellowship. Book a Free Coaching Call at emspodcast.com/free-coaching-call Sign up for the weekly newsletter at emspodcast.com/newsletter   SimKit - https://simkit.co Made to Stick - https://amzn.to/4d5B5qA American Burn Association / ABLS: Enter the ABLS giveaway by June 30, 2026; the winner will be selected July 1, 2026. Loud & Clear listeners also get 10% off ABLS Now through August 31, 2026. Details: https://bit.ly/aba-loud-clear

See All (129)

Trailer

4.9
out of 5
43 Ratings

About

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. Loud & Clear: EMS Guiding Principles is an EMS Cast LLC production

Information

You Might Also Like